CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Unitypoint Health - Meriter

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $468
  • Cash Discount Price: $4,905
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Unitypoint Health - Meriter is $468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,905. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.31x the Medicare baseline. Located in 202 S Park St, Madison, WI.
Cash / Self-Pay
$4,905

Average discount available for prompt cash payment at this facility.

Insurance Median
$468

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: $4,905 (1376%)
Insurance Median: $468 (131%)
Cash: $4,905 (1376% of Medicare)
Ins. Median: $468 (131% 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.

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
Aspirus $80 - $3,679 22%
Blue Cross Blue Shield $80 - $5,825 22%
Illinicare $80 - $345 22%
Prevea 360 $80 - $5,212 22%
UnitedHealthcare $80 - $2,532 22%
Humana $84 - $345 24%
Meridiancare $84 - $345 24%
Health Partners Open Network $183 - $2,238 51%
Medical Associates Health Plan $266 - $2,207 75%
Wellmark Uph Self-Funded $1,098 - $3,540 308%
Cigna $1,839 516%
Security Health Plan $1,901 533%
Quartz $1,913 537%
Mercy Care $2,036 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals