CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Madison Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$355
about 1.0× the $356 Medicare rate · typically $344–$428
modeled estimate · not a bill or quote
What this hospital charges insurers
$343
About the fair price
about $12 under the fair price · 1.0× Medicare
Medicare pays $356 Fair price $355 This hospital $343 Cash price $1,965 Hospital's list price $2,621

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 2 charge more and 5 charge less, among the 9 ID hospitals compared.

Cheapest $158 Priciest $368

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $355 (about 1.0× the $356 Medicare rate). Madison Memorial Hospital charges insurers about $343, or about $1,965 in cash — about the fair price. Located in Rexburg, ID.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $343 96%
Aetnamajor $343 96%
Moda Health $686 192%
Molina $343 96%
SelectHealth $346 97%
+ 3 smaller / regional plans $343 - $583
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 450 East Main Street, Rexburg, ID 83440
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals