CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Spencer Municipal Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$698

about 2.0× the $356 Medicare rate · typically $468–$731

modeled estimate · not a bill or quote

What this hospital charges insurers

$617

Below the fair price — a good deal

about $81 under the fair price · 1.7× Medicare

Medicare pays $356 Fair price $698 This hospital $617 Cash price $1,635 Hospital's list price $2,180

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $133 Priciest $617

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $698 (about 2.0× the $356 Medicare rate). Spencer Municipal Hospital charges insurers about $617, or about $1,635 in cash — below the fair price — a good deal. Located in Spencer, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$321 - $1,962	90%
Blue Cross Blue Shieldmajor	$910	255%
Aetnamajor	$1,962	550%
Humanamajor	$324 - $2,071	91%
HealthPartners	$1,744	489%
Sanford Health Plan	$2,071	581%
+ 2 smaller / regional plans	$2,071

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,635), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Spencer Municipal Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Spencer Municipal Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.