CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,573
  • Cash Discount Price: $3,683
  • vs. Medicare Baseline: 10.02x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University of Wi Hospitals & Clinics Authority is $3,573. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,683. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.02x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$3,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,573

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: $3,683 (1033%)
Insurance Median: $3,573 (1002%)
Cash: $3,683 (1033% of Medicare)
Ins. Median: $3,573 (1002% 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 1002% of the Medicare baseline (a markup of 902%). 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 $356 - $4,923 100%
Blue Cross Blue Shield $356 - $5,832 100%
Humana $356 100%
Medicare (plans) $356 - $364 100%
UnitedHealthcare $356 - $3,843 100%
Alliance_Premier_Network $2,933 823%
Mercycare $3,045 854%
Triology $3,131 - $3,745 878%
Security_Health_Plan $3,315 - $3,898 930%
Employer'S_Coalition_On_Health $3,376 - $4,727 947%
Alliance $3,453 969%
Hfn $3,499 - $4,727 982%
United_Healthcare $3,518 - $5,212 987%
Beloit_Health_System $3,561 999%
Aspirus_Health_Plan $3,585 1006%
Cigna $3,683 1033%
Health_Partners_Insurance $3,745 1051%
Health_Payment_Systems $3,763 1056%
Dean_Health_Plan $3,929 1102%
Medical_Associates $4,052 1137%
Wps $4,254 - $4,684 1194%
Employers_Healthcare_Coalition_Of_Wi $4,297 1206%
Aspirus_Network_Inc $4,727 1326%
Chorus_Community $4,911 1378%
Ghc_Eau_Claire_Health_Plan $4,911 1378%
Multiplan $4,911 - $5,648 1378%
Sheybogan_Employers_Health_Network $4,911 1378%
Coventry $5,218 1464%
Dean_Care $5,218 1464%
Healthsmart $5,402 1516%

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