CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Flagstaff Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $310
  • Cash Discount Price: $3,347
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Flagstaff Medical Center is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,347. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.27x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$3,347

Average discount available for prompt cash payment at this facility.

Insurance Median
$310

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $3,347 (1373%)
Insurance Median: $310 (127%)
Cash: $3,347 (1373% of Medicare)
Ins. Median: $310 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

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
Devoted $176 - $282 72%
Health Choice $176 - $523 72%
University Of Arizona Health Plans $176 - $295 72%
Va Pccc Triwest $179 - $273 73%
Carefirst $223 91%
Mercy Care Rhba $223 91%
Ahcccs $231 95%
Ahcccs Other $231 95%
Fmc Jail $231 95%
Health Choice Arizona $231 95%
Health Choice Integrated Care $231 95%
Health Net Of Arizona $231 95%
Mercy Care $231 95%
Nhi Out Of State Ahcccs $231 95%
UnitedHealthcare $231 - $6,192 95%
Nau Athletic Department $250 - $5,355 103%
Health Net Federal $255 105%
Aetna $268 - $5,696 110%
Fmc 30/70 $268 110%
Humana $268 - $6,359 110%
Medicare (plans) $268 110%
Mercy Care Advantage $268 110%
Rehabilitation Hospital Of Northern Arizona $268 110%
Snf Fmc $268 110%
Wellcare $268 110%
Wellcare By Allwell $268 110%
Fmc Ihs $273 112%
Ambetter / Centene $308 126%
Naphcare $313 - $545 128%
Pnoa $402 165%
Self Pay $3,347 - $6,694 1373%
Self-Pay 50% Discount $3,347 1373%
Blue Cross Blue Shield $3,925 - $4,906 1610%
Workers Comp $4,351 1785%
Copperpoint $4,906 2013%
Auto Insurance $5,000 2051%
Cigna $6,024 2471%
Fmc 90/10 $6,024 2471%
Rural Arizona Network Multiplan $6,024 2471%
United Behavioral Health $6,694 2746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals