CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Childrens Hospital of Wisconsin

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,046
  • Cash Discount Price: $1,980
  • vs. Medicare Baseline: 8.55x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Childrens Hospital of Wisconsin is $3,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,980. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.55x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$1,980

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,046

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: $1,980 (556%)
Insurance Median: $3,046 (855%)
Cash: $1,980 (556% of Medicare)
Ins. Median: $3,046 (855% 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 855% of the Medicare baseline (a markup of 755%). 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
Froedtert Health $2,520 - $3,060 707%
Medical College Of Wisconsin $2,520 707%
Network Health Plan $2,563 719%
UnitedHealthcare $2,646 - $2,740 742%
Aspirus Health Plan $2,700 758%
Common Ground Healthcare Cooperative $2,700 - $3,060 758%
Trilogy Health Solutions $2,700 - $3,060 758%
Wps Health Plan $2,736 - $3,240 768%
Advocate Aurora Healthcare $2,772 778%
Blue Cross Blue Shield $2,808 - $3,420 788%
Centivo $2,808 788%
Health Partners $2,808 - $3,168 788%
Employer Health Care Alliance Cooperative $2,826 793%
Dean Health Plan $2,880 808%
Group Health Cooperative Of Eau Claire $2,880 808%
Oan Llc $2,880 808%
Security Health Plan $2,988 838%
Health Payment Systems $3,046 855%
Praire States $3,060 859%
Quartz Health Insurance $3,060 859%
Sheboygan Employer'S Health Network $3,060 859%
Mayo Clinic Health Solutions $3,132 879%
Aetna $3,168 - $3,204 889%
Bellin Thedacare $3,240 909%
Cigna $3,240 909%
Group Health Cooperative Of South Central Wisconsin $3,240 909%
Prevea Health Network $3,240 909%
Multiplan $3,276 - $3,420 919%
Coventry Health Care $3,420 960%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens