CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Beloit Health System

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,496
Cash Discount Price: $1,926
vs. Medicare Baseline: 9.81x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Beloit Health System is $3,496. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,926. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.81x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$1,926

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,496

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: $1,926 (540%)

Insurance Median: $3,496 (981%)

Cash: $1,926 (540% of Medicare)

Ins. Median: $3,496 (981% 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 981% of the Medicare baseline (a markup of 881%). 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	$215 - $6,669	60%
Blue Cross Blue Shield	$215 - $4,116	60%
Dean Health	$215 - $3,928	60%
Independent Care Health Plan	$215 - $367	60%
Quartz	$215 - $4,563	60%
UnitedHealthcare	$215 - $2,148	60%
Naphcare	$323 - $4,212	91%
Cook Children'S Health Plan (Cchp)	$367 - $3,510	103%
Humana	$367 - $5,265	103%
Managed Health Services	$367	103%
Molina Healthcare	$367	103%
Wellcare	$367	103%
The Alliance	$818 - $1,469	229%
Wps	$1,076 - $5,200	302%
Wea Trust	$3,483 - $3,861	977%
Multiplan	$5,066 - $5,616	1421%
Health Eos	$5,636 - $6,388	1581%
Cigna	$5,826 - $6,669	1635%
Hfn	$5,826 - $6,669	1635%
Preferred Network Access	$5,826 - $6,669	1635%

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 $1,926.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.