CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Progress West Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,674
  • Cash Discount Price: $2,839
  • vs. Medicare Baseline: 7.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Progress West Hospital is $2,674. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,839. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.50x the Medicare baseline. Located in 2 Progress Point Pkwy, Ofallon, MO.
Cash / Self-Pay
$2,839

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,674

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: $2,839 (797%)
Insurance Median: $2,674 (750%)
Cash: $2,839 (797% of Medicare)
Ins. Median: $2,674 (750% 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 750% of the Medicare baseline (a markup of 650%). 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 $349 - $3,549 98%
Blue Cross Blue Shield $349 - $4,117 98%
Essence Healthcare [221] $349 98%
Humana $349 - $2,807 98%
UnitedHealthcare $349 - $3,516 98%
Cox Health [757] $367 103%
Devoted Health Plan [847] $367 103%
Medica [662] $367 103%
Cigna $597 - $920 167%
Apwu Health Plan [216] $916 257%
Nalc Health Benefit Plan [242] $916 257%
Priority Health [648] $916 257%
Healthscope Benefits [258] $1,009 283%
Consociate [478] $1,388 389%
Sarah Bush Lincoln [636] $1,388 389%
Allied Benefits [498] $1,426 - $3,516 400%
Coresource [497] $1,426 400%
Fmh Benefit Service Inc [222] $1,426 400%
Mail Handlers [495] $1,426 400%
Health Alliance [224] $1,500 421%
Healthlink [225] $2,295 - $3,573 644%
Cox Health Systems Insurance Company [220] $2,603 - $3,076 730%
Hope Trust [806] $2,745 770%
Med-Pay [480] $3,076 - $3,549 863%
Unicare [568] $3,076 - $3,573 863%
First Health Commercial [734] $3,516 986%
Beechstreet [551] $3,549 996%
Detego Health [868] $3,549 996%
Health Systems Inc [620] $3,549 996%
Healthcare Sol Mercy [609] $3,549 996%
Multiplan Commercial [737] $3,549 996%
Multiplan [240] $3,549 996%
Phcs [244] $3,549 - $3,786 996%
Preferred Health Professionals [561] $3,573 1002%
Hfn [563] $3,786 1062%
Medica [661] $3,786 1062%
Mh Magellan Health Services [270] $4,732 1328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2 Progress Point Pkwy, Ofallon, MO 63368
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals