CT scan, abdomen and pelvis (with contrast)
Facility: Johnson Memorial Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,041
- Cash Discount Price: $897
- vs. Medicare Baseline: 2.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 292% of the Medicare baseline (a markup of 192%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticut Dept of Correction | $386 | 108% |
| Allegiance | $391 | 110% |
| Cigna | $391 - $1,271 | 110% |
| Health Partners | $391 | 110% |
| Magnacare | $391 | 110% |
| Blue Cross Blue Shield | $410 - $1,041 | 115% |
| Aetna | $410 - $730 | 115% |
| UnitedHealthcare | $410 - $1,630 | 115% |
| Medicare (plans) | $410 - $431 | 115% |
| Cca Senior Care Options | $418 | 117% |
| Fallon Health | $544 | 153% |
| Harvard Pilgrim Healthcare | $611 | 171% |
| Geha | $611 | 171% |
| Allied Benefit Systems | $730 | 205% |
| Nippon Life Ins | $730 | 205% |
| Meritain | $730 | 205% |
| 1199 National Benefit Fund | $730 | 205% |
| Luminare Health | $730 | 205% |
| Hap | $730 | 205% |
| Gravie Admin Services | $730 | 205% |
| Webtpa | $730 | 205% |
| Diversified Administrators | $878 | 246% |
| Claimdoc | $878 | 246% |
| Innovative Health Plan II | $878 | 246% |
| Centivo | $974 | 273% |
| Health Choices | $1,041 | 292% |
| Kaiser Domestic | $1,041 | 292% |
| Wellpoint | $1,041 | 292% |
| Unicare | $1,041 | 292% |
| Blue Shield - Ny Highmark Western | $1,041 | 292% |
| Blue Distinction Transplant | $1,041 | 292% |
| Wc Domestic | $1,041 | 292% |
| Blue Care Network | $1,041 | 292% |
| Blue Shield - Ca | $1,041 | 292% |
| Blue Shield - Ny Highmark Northeastern | $1,041 | 292% |
| Blue Benefit Administrators of Massachusetts | $1,041 | 292% |
| Blue Shield - Id (Regence) | $1,041 | 292% |
| Blue Shield - PA (Highmark) | $1,041 | 292% |
| Blue Shield - Wa (Regence) | $1,041 | 292% |
| Pre-Employment | $1,041 | 292% |
| Bcn Domestic | $1,041 | 292% |
| Health New England | $1,060 | 297% |
| Connecticare | $1,295 - $1,618 | 363% |
| Prime Health Services | $1,304 | 366% |
| Pan-American Life | $1,353 | 380% |
| Christian Care Ministry | $1,353 | 380% |
| Allied National Global Care | $1,353 | 380% |
| Mvp | $1,353 | 380% |
| Lifetime Benefit Solutions | $1,353 | 380% |
| Manhattan Life | $1,353 | 380% |
| Family Life Insurance Company | $1,353 | 380% |
| PHCS | $1,353 | 380% |
| Dean Health | $1,353 | 380% |
| International Benefit Administrators | $1,353 | 380% |
| Trinity Health Share | $1,353 | 380% |
| Asrm - Reliance Standard Life Insurance | $1,353 | 380% |
| Ghc Scw | $1,353 | 380% |
| Multiplan | $1,353 | 380% |
| Paramount HMO | $1,353 | 380% |
| Pai | $1,353 | 380% |
| Medi Share | $1,353 | 380% |
| Health Smart | $1,386 | 389% |
| United Behavioral Health Eap | $1,630 | 457% |