CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Flagstaff Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $481
  • Cash Discount Price: $3,506
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Flagstaff Medical Center is $481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,506. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.35x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$3,506

Average discount available for prompt cash payment at this facility.

Insurance Median
$481

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: $3,506 (984%)
Insurance Median: $481 (135%)
Cash: $3,506 (984% of Medicare)
Ins. Median: $481 (135% 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.

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
Nau Athletic Department $250 - $5,609 70%
Devoted $288 - $412 81%
Health Choice $288 - $765 81%
University Of Arizona Health Plans $288 - $432 81%
Va Pccc Triwest $292 - $399 82%
Carefirst $323 91%
Mercy Care Rhba $323 91%
Ahcccs $335 94%
Ahcccs Other $335 94%
Fmc Jail $335 94%
Health Choice Arizona $335 94%
Health Choice Integrated Care $335 94%
Health Net Of Arizona $335 94%
Mercy Care $335 94%
Nhi Out Of State Ahcccs $335 94%
UnitedHealthcare $335 - $6,486 94%
Health Net Federal $372 104%
Aetna $392 - $5,967 110%
Fmc 30/70 $392 110%
Humana $392 - $6,661 110%
Medicare (plans) $392 110%
Mercy Care Advantage $392 110%
Rehabilitation Hospital Of Northern Arizona $392 110%
Snf Fmc $392 110%
Wellcare $392 110%
Wellcare By Allwell $392 110%
Fmc Ihs $399 112%
Ambetter / Centene $451 127%
Naphcare $512 - $797 144%
Pnoa $588 165%
Self Pay $3,506 - $7,012 984%
Self-Pay 50% Discount $3,506 984%
Blue Cross Blue Shield $4,112 - $5,140 1154%
Workers Comp $4,558 1279%
Auto Insurance $5,000 1403%
Copperpoint $5,140 1442%
Cigna $6,310 1770%
Fmc 90/10 $6,310 1770%
Rural Arizona Network Multiplan $6,310 1770%
United Behavioral Health $7,012 1967%

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