CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,933
  • Cash Discount Price: $3,023
  • vs. Medicare Baseline: 12.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at University of Wi Hospitals & Clinics Authority is $2,933. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,023. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.03x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$3,023

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,933

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: $3,023 (1240%)
Insurance Median: $2,933 (1203%)
Cash: $3,023 (1240% of Medicare)
Ins. Median: $2,933 (1203% 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 1203% of the Medicare baseline (a markup of 1103%). 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 $244 - $4,041 100%
Blue Cross Blue Shield $244 - $4,787 100%
Humana $244 100%
Medicare (plans) $244 - $249 100%
UnitedHealthcare $244 - $3,154 100%
Alliance_Premier_Network $2,407 987%
Mercycare $2,499 1025%
Triology $2,570 - $3,074 1054%
Security_Health_Plan $2,721 - $3,200 1116%
Employer'S_Coalition_On_Health $2,771 - $3,880 1137%
Alliance $2,834 1163%
Hfn $2,872 - $3,880 1178%
United_Healthcare $2,887 - $4,278 1184%
Beloit_Health_System $2,923 1199%
Aspirus_Health_Plan $2,943 1207%
Cigna $3,023 1240%
Health_Partners_Insurance $3,074 1261%
Health_Payment_Systems $3,088 1267%
Dean_Health_Plan $3,225 1323%
Medical_Associates $3,326 1364%
Wps $3,492 - $3,845 1432%
Employers_Healthcare_Coalition_Of_Wi $3,527 1447%
Aspirus_Network_Inc $3,880 1592%
Chorus_Community $4,031 1654%
Ghc_Eau_Claire_Health_Plan $4,031 1654%
Multiplan $4,031 - $4,636 1654%
Sheybogan_Employers_Health_Network $4,031 1654%
Coventry $4,283 1757%
Dean_Care $4,283 1757%
Healthsmart $4,434 1819%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals