CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Hospital, The

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,487
Cash Discount Price: $2,663
vs. Medicare Baseline: 9.78x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Hospital, The is $3,487. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,663. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.78x the Medicare baseline. Located in 750 Hospital Loop, Craig, CO.

Cash / Self-Pay

$2,663

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,487

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: $2,663 (747%)

Insurance Median: $3,487 (978%)

Cash: $2,663 (747% of Medicare)

Ins. Median: $3,487 (978% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 978% of the Medicare baseline (a markup of 878%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$1,516 - $4,097	425%
Care Advantage	$1,516 - $4,097	425%
Cvs Caremark-Part D	$1,516 - $4,097	425%
Denver Health	$1,516 - $4,097	425%
Humana	$1,516 - $4,097	425%
Kaiser	$1,516 - $4,097	425%
Rmhp Dualcare	$1,516 - $4,097	425%
Golden Rule Ins	$3,483	977%
UnitedHealthcare	$3,483 - $4,097	977%
Allegiance	$3,487	978%
Cigna	$3,487	978%
Geha	$3,487	978%
Great West Hlthcare	$3,487	978%
Health Partners	$3,487	978%
Aetna	$3,585 - $4,097	1006%
Multiplan Inc Ppo	$3,770 - $3,892	1058%
First Health Other	$3,892	1092%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,663.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital, The is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.