CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Columbus Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,518
Cash Discount Price: $3,779
vs. Medicare Baseline: 4.26x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Columbus Community Hospital is $1,518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,779. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.26x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$3,779

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,518

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: $3,779 (1060%)

Insurance Median: $1,518 (426%)

Cash: $3,779 (1060% of Medicare)

Ins. Median: $1,518 (426% 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 426% of the Medicare baseline (a markup of 326%). 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
Dean Health Plan	$356 - $2,474	100%
My Choice Wisconsin	$356 - $570	100%
Quartz	$356 - $4,514	100%
Security Health Plan	$356 - $5,129	100%
UnitedHealthcare	$356 - $5,703	100%
Blue Cross Blue Shield	$570 - $5,291	160%
Icare	$570 - $1,993	160%
Alliance	$1,044	293%
Cigna	$4,109	1153%
Health Payment Systems	$5,153	1446%
Trilogy	$5,634	1581%
Wps	$5,785	1623%
Healtheos	$5,978 - $6,390	1677%
First Health	$6,046	1696%
Humana	$6,184	1735%

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 $3,779.
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 Columbus Community Hospital 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.