CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Francis Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,872
  • Cash Discount Price: $4,990
  • vs. Medicare Baseline: 13.67x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Francis Hospital is $4,872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,990. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.67x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.
Cash / Self-Pay
$4,990

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,872

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: $4,990 (1400%)
Insurance Median: $4,872 (1367%)
Cash: $4,990 (1400% of Medicare)
Ins. Median: $4,872 (1367% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1367% of the Medicare baseline (a markup of 1267%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Wexford $189 - $377 53%
Molina Healthcare $198 - $1,528 56%
Meridian Health Plan $207 - $415 58%
Humana $1,456 408%
Clear Spring Health of Illinois $1,456 408%
Blue Cross Blue Shield $1,456 - $1,594 408%
UnitedHealthcare $1,525 - $6,931 428%
Aetna $1,525 - $4,872 428%
Amish Community $1,941 545%
Cigna $2,290 642%
Celtic Insurance Company $3,507 984%
Claim Doc $3,639 1021%
Hopetrust $3,985 1118%
Wellfirst $4,459 1251%
First Health $5,143 1443%
Caterpillar, Inc. $5,559 1560%
Current Health Solutions $5,822 1633%
Consociate Group $5,891 1653%
Multiplan/Phcs $5,891 1653%
Healthlink $5,912 1659%
Healthcare Finest Network (Hfn) $6,238 1750%
Provider Network of America $6,238 1750%
Healthscope $6,931 1945%
Live360 $6,931 1945%
Health Alliance Medical Plans $6,931 1945%
Naphcare $6,931 1945%
Illinois Breast and Cervical Cancer Program $6,931 1945%
Interplan $6,931 1945%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1215 Franciscan Dr, Litchfield, IL 62056
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals