CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Fayette County Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $599
Cash Discount Price: $3,603
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Fayette County Hospital is $599. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,603. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.68x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$3,603

Average discount available for prompt cash payment at this facility.

Insurance Median

$599

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $3,603 (1011%)

Insurance Median: $599 (168%)

Cash: $3,603 (1011% of Medicare)

Ins. Median: $599 (168% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health Alliance Mcare	$84 - $2,147	24%
Healthlink Mcr Adv	$84 - $2,147	24%
Aetna	$92 - $4,629	26%
Cigna	$97 - $5,031	27%
Coventry/Ghp-All Plans	$113 - $4,360	32%
Multiplan - All Plans	$156 - $5,702	44%
Blue Cross Blue Shield	$165 - $5,635	46%
Illinicare - All Plans	$165 - $599	46%
Medicaid / KanCare	$165 - $599	46%
Meridian-All Plans	$165 - $599	46%
Health Alliance - All Other Plans	$168 - $5,541	47%
UnitedHealthcare	$413 - $5,568	116%
Healthlink Hmo	$427 - $4,696	120%
Healthlink Ppo - All Other Plans	$427 - $5,366	120%
Humana	$2,147	602%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,603.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fayette County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.