CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Salem Township Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$742
about 2.1× the $356 Medicare rate · typically $339–$2,036
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,036
Well above the fair price
about $1,294 over the fair price · 5.7× Medicare
Medicare pays $356 Fair price $742 This hospital $2,036 Cash price $3,879 Hospital's list price $9,697

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $134 Priciest $2,036

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $742 (about 2.1× the $356 Medicare rate). Salem Township Hospital charges insurers about $2,036, or about $3,879 in cash — well above the fair price. Located in Salem, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $742. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,133 - $7,758 598%
Blue Cross Blue Shieldmajor $1,940 544%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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