CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Salem Township Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$658
about 2.7× the $244 Medicare rate · typically $258–$1,851
modeled estimate · not a bill or quote
Medicare pays $244 Fair price $658 Cash price $3,661 Hospital's list price $9,154

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,014 - $7,323 826%
Blue Cross Blue Shieldmajor $1,920 788%
Aetnamajor $1,831 751%
Cignamajor $6,737 2764%
Humanamajor $1,980 812%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1201 Ricker Drive, Salem, IL 62881
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals