CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Barnes Jewish Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,882
  • Cash Discount Price: $1,737
  • vs. Medicare Baseline: 7.72x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Barnes Jewish Hospital is $1,882. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,737. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.72x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.
Cash / Self-Pay
$1,737

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,882

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,737 (713%)
Insurance Median: $1,882 (772%)
Cash: $1,737 (713% of Medicare)
Ins. Median: $1,882 (772% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 772% of the Medicare baseline (a markup of 672%). 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
Blue Cross Blue Shield $203 - $2,519 83%
Aetna $239 - $2,171 98%
Essence Healthcare [221] $239 98%
Humana $239 - $3,634 98%
UnitedHealthcare $239 - $2,151 98%
Cox Health [757] $251 103%
Devoted Health Plan [847] $251 103%
Medica [662] $251 103%
Cigna $872 - $2,316 358%
Allied Benefits [498] $1,090 - $2,151 447%
Coresource [497] $1,090 447%
Fmh Benefit Service Inc [222] $1,090 447%
Mail Handlers [495] $1,090 447%
Healthscope Benefits [258] $1,210 - $1,882 496%
Apwu Health Plan [216] $1,378 565%
Nalc Health Benefit Plan [242] $1,378 565%
Priority Health [648] $1,378 565%
Healthlink [225] $1,404 - $2,186 576%
Health Alliance [224] $1,500 615%
Cox Health Systems Insurance Company [220] $1,592 - $1,882 653%
Hope Trust [806] $1,679 689%
Med-Pay [480] $1,882 - $2,171 772%
Unicare [568] $1,882 - $2,186 772%
First Health Commercial [734] $2,151 882%
Beechstreet [551] $2,171 891%
Detego Health [868] $2,171 891%
Health Systems Inc [620] $2,171 891%
Healthcare Sol Mercy [609] $2,171 891%
Multiplan Commercial [737] $2,171 891%
Multiplan [240] $2,171 891%
Phcs [244] $2,171 - $2,316 891%
Preferred Health Professionals [561] $2,186 897%
Medica [661] $2,316 950%
Consociate [478] $2,322 953%
Sarah Bush Lincoln [636] $2,322 953%
Hfn [563] $2,461 1010%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Barnes-Jewish Hospital Plaza, Saint Louis, MO 63110
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals