CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Beloit Health System

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,061
Cash Discount Price: $1,675
vs. Medicare Baseline: 12.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Beloit Health System is $3,061. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,675. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.56x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$1,675

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,061

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: $1,675 (687%)

Insurance Median: $3,061 (1256%)

Cash: $1,675 (687% of Medicare)

Ins. Median: $3,061 (1256% 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 1256% of the Medicare baseline (a markup of 1156%). 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	$102 - $5,889	42%
Blue Cross Blue Shield	$102 - $3,518	42%
Dean Health	$102 - $3,469	42%
Independent Care Health Plan	$102 - $251	42%
Quartz	$102 - $4,030	42%
UnitedHealthcare	$102 - $2,148	42%
Naphcare	$154 - $3,720	63%
Cook Children'S Health Plan (Cchp)	$251 - $3,100	103%
Humana	$251 - $4,650	103%
Managed Health Services	$251	103%
Molina Healthcare	$251	103%
Wellcare	$251	103%
The Alliance	$389 - $1,004	160%
Wps	$512 - $4,592	210%
Wea Trust	$2,977 - $3,410	1221%
Multiplan	$4,330 - $4,960	1776%
Health Eos	$4,817 - $5,641	1976%
Cigna	$4,979 - $5,889	2042%
Hfn	$4,979 - $5,889	2042%
Preferred Network Access	$4,979 - $5,889	2042%

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 $1,675.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Beloit Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.