CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Page Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $242
  • Cash Discount Price: $1,480
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Page Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,480. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.68x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$1,480

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

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: $1,480 (415%)
Insurance Median: $242 (68%)
Cash: $1,480 (415% of Medicare)
Ins. Median: $242 (68% 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
Humana $79 - $1,673 22%
Plotkin Health $105 - $2,219 29%
Aetna $124 - $4,478 35%
Arizona Physicians Ipa $124 - $2,614 35%
Banner Health $124 - $2,614 35%
Banner University Health Plan $124 - $2,614 35%
Blue Cross Blue Shield $124 - $3,891 35%
Care 1St $124 - $2,614 35%
Cigna $124 - $4,542 35%
Gila River Health Care Corporation $124 - $2,614 35%
Health Choice Arizona, Inc. $124 - $3,181 35%
Health Net $124 - $3,869 35%
Kaiser Foundation Health Plan $124 - $2,614 35%
Mercy Care $124 - $2,614 35%
Triwest Healthcare Alliance Corp - Va Ccn $124 - $2,614 35%
Upmc Health Plan $124 - $2,614 35%
Wellpoint $124 - $2,614 35%
Carelon $130 - $2,745 36%
Arizona Priority Care $136 - $2,875 38%
Devoted Health Services $136 - $2,875 38%
Gold Kidney Health Plan $136 - $2,875 38%
Quiktrip Corporation $164 - $3,452 46%
Coconino County Sheriff'S Department $171 - $3,600 48%
Oscar Health Plan $205 - $4,313 58%
Provider Network Of America $211 - $4,439 59%
Arizona Medical Network $222 - $4,685 62%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $222 - $4,685 62%
UnitedHealthcare $2,614 - $2,713 733%

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