CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Froedtert Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,873
  • Cash Discount Price: $2,396
  • vs. Medicare Baseline: 5.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Froedtert Community Hospital is $1,873. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,396. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.25x the Medicare baseline. Located in 4805 S Moorland Rd, New Berlin, WI.
Cash / Self-Pay
$2,396

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,873

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: $2,396 (672%)
Insurance Median: $1,873 (525%)
Cash: $2,396 (672% of Medicare)
Ins. Median: $1,873 (525% 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 525% of the Medicare baseline (a markup of 425%). 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 $347 - $1,362 97%
Care Wisconsin $347 97%
Community Care $347 97%
Health Partners $347 - $2,832 97%
Humana $347 97%
Icare $347 97%
Molina $347 97%
Network Health Plan $347 - $827 97%
Security Health Plan Secure Savers $347 97%
UnitedHealthcare $347 - $1,136 97%
Chorus Community Health Plan $1,743 489%
Medical College Of Wisconsin $1,743 489%
Centivo $1,873 - $2,178 525%
Cigna $2,557 717%
Common Ground $2,614 733%
Sheboygan Employers Health Network $2,614 733%
Wisconsin Physician Services $2,614 733%
Health Payment Systems $2,662 747%
Trilogy $2,832 795%
Americas Choice $3,790 1063%
Healtheos $3,790 1063%
Multiplan/Private Healthcare Systems $3,790 1063%
First Health Network $3,834 1076%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4805 S Moorland Rd, New Berlin, WI 53151
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals