CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,094
  • Cash Discount Price: $2,007
  • vs. Medicare Baseline: 8.68x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Childrens Hospital of Wisconsin Fox Valley is $3,094. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,007. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.68x the Medicare baseline. Located in 130 Second St, Neenah, WI.
Cash / Self-Pay
$2,007

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,094

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: $2,007 (563%)
Insurance Median: $3,094 (868%)
Cash: $2,007 (563% of Medicare)
Ins. Median: $3,094 (868% 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 868% of the Medicare baseline (a markup of 768%). 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 $2,554 - $3,101 717%
Medical College Of Wisconsin $2,554 717%
Network Health Plan $2,598 729%
UnitedHealthcare $2,682 - $2,777 752%
Aspirus Health Plan $2,737 768%
Common Ground Healthcare Cooperative $2,737 - $3,101 768%
Trilogy Health Solutions $2,737 - $3,101 768%
Wps Health Plan $2,773 - $3,284 778%
Advocate Aurora Healthcare $2,810 788%
Blue Cross Blue Shield $2,846 - $3,466 798%
Centivo $2,846 798%
Health Partners $2,846 - $3,211 798%
Employer Health Care Alliance Cooperative $2,864 804%
Dean Health Plan $2,919 819%
Group Health Cooperative Of Eau Claire $2,919 819%
Oan Llc $2,919 819%
Security Health Plan $3,028 850%
Health Payment Systems $3,087 866%
Praire States $3,101 870%
Quartz Health Insurance $3,101 870%
Sheboygan Employer'S Health Network $3,101 870%
America'S Ppo $3,174 890%
Aetna $3,211 - $3,247 901%
Bellin Thedacare $3,284 921%
Cigna $3,284 921%
Group Health Cooperative Of South Central Wisconsin $3,284 921%
Healthsmart $3,284 921%
Prevea Health Network $3,284 921%
Multiplan $3,320 - $3,466 931%
Coventry Health Care $3,466 972%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens