CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,057
  • Cash Discount Price: $3,263
  • vs. Medicare Baseline: 11.38x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Froedtert Memorial Lutheran Hospital is $4,057. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,263. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.38x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$3,263

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,057

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: $3,263 (915%)
Insurance Median: $4,057 (1138%)
Cash: $3,263 (915% of Medicare)
Ins. Median: $4,057 (1138% 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 1138% of the Medicare baseline (a markup of 1038%). 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
Blue Cross Blue Shield $363 - $5,701 102%
Community Care $363 102%
Health Partners $363 - $4,158 102%
Humana $363 102%
Icare $363 102%
Molina $363 102%
Network Health Plan $363 - $1,033 102%
Priority Health $363 102%
Quartz $363 102%
Security Health Plan $363 - $5,274 102%
UnitedHealthcare $363 - $1,621 102%
Upper Peninsula Health Plan $363 102%
Aetna $370 - $4,360 104%
Wellcare $370 104%
Care Wisconsin/Mychoice $374 105%
Sheboygan Employers Health Network $1,084 304%
Centivo $1,548 - $2,213 434%
Medical College Of Wisconsin $1,703 - $2,213 478%
Chorus Community Health Plan $2,012 - $2,616 564%
Froedtert South $2,064 - $2,683 579%
Wisconsin Physician Services Statewide Alliance $3,251 - $4,225 912%
Trilogy $3,354 - $4,360 941%
Health Payment Systems $3,395 - $4,413 953%
Cigna $4,025 - $5,231 1129%
Dean Health Plan $4,128 - $5,366 1158%
Group Health Cooperative $4,128 - $5,366 1158%
Healtheos $4,128 - $5,366 1158%
Multiplan/Private Healthcare Systems $4,128 - $5,366 1158%
Healthsmart $4,283 - $5,567 1202%
Wisconsin Physician Services $4,386 - $5,701 1231%
First Health Network $4,463 - $5,802 1252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals