CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Northwestern Medicine Marianjoy Rehabilitation Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,185
  • Cash Discount Price: $6,049
  • vs. Medicare Baseline: 14.55x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Northwestern Medicine Marianjoy Rehabilitation Hospital is $5,185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,049. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.55x the Medicare baseline. Located in 26W171 Roosevelt Rd, Wheaton, IL.
Cash / Self-Pay
$6,049

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,185

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: $6,049 (1697%)
Insurance Median: $5,185 (1455%)
Cash: $6,049 (1697% of Medicare)
Ins. Median: $5,185 (1455% 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 1455% of the Medicare baseline (a markup of 1355%). 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
Aetna $3,630 - $8,642 1018%
Imagine Health [6032] $3,630 1018%
Cigna $4,321 - $5,185 1212%
The Alliance [1703] $4,697 1318%
Blue Cross Blue Shield $4,710 - $5,617 1321%
Humana $5,185 - $8,642 1455%
Healthlink [125] $5,444 1527%
First Health Plan [6034] $5,782 - $8,642 1622%
Multiplan/Phcs [142] $6,914 - $8,642 1940%
Health'S Finest Network [126] $7,519 2110%
UnitedHealthcare $8,642 2425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 26W171 Roosevelt Rd, Wheaton, IL 60187
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL