CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $366
  • Cash Discount Price: $3,267
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sartori Memorial Hospital, Inc is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,267. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.50x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$3,267

Average discount available for prompt cash payment at this facility.

Insurance Median
$366

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: $3,267 (1340%)
Insurance Median: $366 (150%)
Cash: $3,267 (1340% of Medicare)
Ins. Median: $366 (150% 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
Aetna $225 - $810 92%
Medicare (plans) $225 - $234 92%
Blue Cross Blue Shield $227 - $244 93%
UnitedHealthcare $229 - $5,026 94%
Iowa Total Care $240 98%
Medicaid / KanCare $242 - $243 99%
Bcn Domestic $244 100%
Blue Benefit Administrators Of Massachusetts $244 100%
Blue Care Network $244 100%
Blue Distinction Transplant $244 100%
Blue Shield - Ca $244 100%
Blue Shield - Id (Regence) $244 100%
Blue Shield - Ny Highmark Northeastern $244 100%
Blue Shield - Ny Highmark Western $244 100%
Blue Shield - Pa (Highmark) $244 100%
Blue Shield - Wa (Regence) $244 100%
Kaiser Domestic $244 100%
Pre-Employment $244 100%
Wc Domestic $244 100%
Amish Hospital Aid $305 125%
Oscar $352 144%
Centivo $381 156%
Ambetter / Centene $385 158%
Claimdoc $461 189%
Nova $461 189%
Geha $525 215%
Allied Benefit Systems $810 332%
Asr Health Benefits $810 332%
Coventry $810 332%
First Health $810 332%
Lucent Health $810 332%
Luminare Health $810 332%
Medical Mutual $810 332%
Meritain $810 332%
Webtpa $810 332%
Health Choices $1,181 484%
Medical Associates $1,181 484%
Health Partners $1,644 674%
Auxiant $3,568 1464%
Cigna $3,568 1464%
Medica $3,568 1464%
Midlands $3,568 1464%
Midlands Choice $3,568 1464%
Iowa Dept Of Public Health $5,026 2062%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals