CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Barnes Jewish Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,322
Cash Discount Price: $2,458
vs. Medicare Baseline: 6.51x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Barnes Jewish Hospital is $2,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,458. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.51x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$2,458

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,322

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: $2,458 (690%)

Insurance Median: $2,322 (651%)

Cash: $2,458 (690% of Medicare)

Ins. Median: $2,322 (651% 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 651% of the Medicare baseline (a markup of 551%). 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
Aetna	$349 - $3,072	98%
Blue Cross Blue Shield	$349 - $3,564	98%
Essence Healthcare [221]	$349	98%
Humana	$349 - $3,634	98%
UnitedHealthcare	$349 - $3,043	98%
Cox Health [757]	$367	103%
Devoted Health Plan [847]	$367	103%
Medica [662]	$367	103%
Cigna	$872 - $3,277	245%
Healthscope Benefits [258]	$1,210 - $2,662	339%
Allied Benefits [498]	$1,269 - $3,043	356%
Coresource [497]	$1,269 - $1,782	356%
Fmh Benefit Service Inc [222]	$1,269 - $1,782	356%
Mail Handlers [495]	$1,269 - $1,782	356%
Apwu Health Plan [216]	$1,378	387%
Nalc Health Benefit Plan [242]	$1,378	387%
Priority Health [648]	$1,378	387%
Health Alliance [224]	$1,500	421%
Healthlink [225]	$1,987 - $3,092	557%
Cox Health Systems Insurance Company [220]	$2,253 - $2,662	632%
Consociate [478]	$2,322	651%
Sarah Bush Lincoln [636]	$2,322	651%
Hope Trust [806]	$2,376	667%
Med-Pay [480]	$2,662 - $3,072	747%
Unicare [568]	$2,662 - $3,092	747%
First Health Commercial [734]	$3,043	854%
Beechstreet [551]	$3,072	862%
Detego Health [868]	$3,072	862%
Health Systems Inc [620]	$3,072	862%
Healthcare Sol Mercy [609]	$3,072	862%
Multiplan Commercial [737]	$3,072	862%
Multiplan [240]	$3,072	862%
Phcs [244]	$3,072 - $3,277	862%
Preferred Health Professionals [561]	$3,092	867%
Medica [661]	$3,277	919%
Hfn [563]	$3,482	977%

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 $2,458.
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 Barnes Jewish 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.