CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Froedtert Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,611
Cash Discount Price: $2,061
vs. Medicare Baseline: 6.61x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Froedtert Community Hospital is $1,611. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,061. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.61x the Medicare baseline. Located in 4805 S Moorland Rd, New Berlin, WI.

Cash / Self-Pay

$2,061

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,611

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: $2,061 (845%)

Insurance Median: $1,611 (661%)

Cash: $2,061 (845% of Medicare)

Ins. Median: $1,611 (661% 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 661% of the Medicare baseline (a markup of 561%). 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
Blue Cross Blue Shield	$235 - $1,362	96%
Care Wisconsin	$235	96%
Community Care	$235	96%
Health Partners	$235 - $2,436	96%
Humana	$235	96%
Icare	$235	96%
Molina	$235	96%
Network Health Plan	$235 - $827	96%
Security Health Plan Secure Savers	$235	96%
UnitedHealthcare	$235 - $1,136	96%
Chorus Community Health Plan	$1,499	615%
Medical College Of Wisconsin	$1,499	615%
Centivo	$1,611 - $1,874	661%
Cigna	$2,199	902%
Common Ground	$2,248	922%
Sheboygan Employers Health Network	$2,248	922%
Wisconsin Physician Services	$2,248	922%
Health Payment Systems	$2,289	939%
Trilogy	$2,436	999%
Americas Choice	$3,260	1337%
Healtheos	$3,260	1337%
Multiplan/Private Healthcare Systems	$3,260	1337%
First Health Network	$3,297	1353%

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 $2,061.
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 Froedtert Community Hospital 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.