CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Shirley Ryan Abilitylab

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $6,706
Cash Discount Price: $5,159
vs. Medicare Baseline: 18.81x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Shirley Ryan Abilitylab is $6,706. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,159. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 18.81x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$5,159

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,706

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: $5,159 (1447%)

Insurance Median: $6,706 (1881%)

Cash: $5,159 (1447% of Medicare)

Ins. Median: $6,706 (1881% 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 1881% of the Medicare baseline (a markup of 1781%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Uic Physician Group-Campuscare	$4,276 - $4,321	1200%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$4,550 - $7,346	1277%
State Of Illinois	$4,550 - $4,598	1277%
Affordable Health Care Concepts	$5,140 - $5,194	1442%
University Of Chicago Practice Plan	$5,559 - $5,617	1560%
Health Care Services Corporation Dba Managed Care Network Preferred	$5,825 - $5,885	1634%
Gallagher Benefit Administrators	$6,415 - $6,482	1800%
Unicare Life And Health Insurance	$6,671 - $6,741	1872%
Private Healthcare Systems	$6,842 - $6,914	1920%
Resurrection Health Care Preferred	$6,842 - $6,914	1920%
Uic Physician Group	$6,928 - $7,000	1944%
Cofinity Aka Ppom	$7,270 - $7,346	2040%
Health Payors Organization	$7,270 - $7,346	2040%
Healthnetwork	$7,527 - $7,605	2112%
Hfn	$7,698 - $7,778	2160%

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 $5,159.
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 Shirley Ryan Abilitylab 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.