CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Page Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $212
  • Cash Discount Price: $1,192
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Page Hospital is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,192. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.87x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$1,192

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

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: $1,192 (489%)
Insurance Median: $212 (87%)
Cash: $1,192 (489% of Medicare)
Ins. Median: $212 (87% 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
Humana $76 - $1,338 31%
Plotkin Health $100 - $1,775 41%
Aetna $118 - $3,582 48%
Arizona Physicians Ipa $118 - $2,091 48%
Banner Health $118 - $2,091 48%
Banner University Health Plan $118 - $2,091 48%
Blue Cross Blue Shield $118 - $3,113 48%
Care 1St $118 - $2,091 48%
Cigna $118 - $3,633 48%
Gila River Health Care Corporation $118 - $2,091 48%
Health Choice Arizona, Inc. $118 - $2,545 48%
Health Net $118 - $3,094 48%
Kaiser Foundation Health Plan $118 - $2,091 48%
Mercy Care $118 - $2,091 48%
Triwest Healthcare Alliance Corp - Va Ccn $118 - $2,091 48%
Upmc Health Plan $118 - $2,091 48%
Wellpoint $118 - $2,091 48%
Carelon $124 - $2,195 51%
Arizona Priority Care $130 - $2,300 53%
Devoted Health Services $130 - $2,300 53%
Gold Kidney Health Plan $130 - $2,300 53%
Quiktrip Corporation $156 - $2,762 64%
Coconino County Sheriff'S Department $163 - $2,880 67%
Oscar Health Plan $195 - $3,450 80%
Provider Network Of America $201 - $3,550 82%
Arizona Medical Network $212 - $3,748 87%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $212 - $3,748 87%
UnitedHealthcare $2,091 - $2,170 858%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 North Navajo Drive, Page, AZ 86040
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals