CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $282
  • Cash Discount Price: $3,123
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Munson Healthcare Grayling Hospital is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,123. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.79x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$3,123

Average discount available for prompt cash payment at this facility.

Insurance Median
$282

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: $3,123 (876%)
Insurance Median: $282 (79%)
Cash: $3,123 (876% of Medicare)
Ins. Median: $282 (79% 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
Mclaren Health Plan $55 - $2,053 15%
Meridian $55 - $182 15%
Molina $55 - $375 15%
Priority Health $55 - $794 15%
UnitedHealthcare $55 - $2,204 15%
Blue Cross Blue Shield $56 - $612 16%
Aetna $82 - $2,785 23%
Atrium King Centre Skilled Nursing Services $82 - $348 23%
Blue Care Network $82 - $348 23%
Hap (Health Alliance Plan) $82 - $2,939 23%
Humana $82 - $348 23%
Medicare (plans) $82 - $348 23%
Northern Michigan Mennonite Group $82 - $348 23%
Promedica $82 - $348 23%
Wellcare (Meridian) $82 - $348 23%
Wellspring Lutheran Services Skilling Nursing Services $82 - $348 23%
Michigan Amish Medical Board $95 - $348 27%
Provider Network Of America Group Health $115 - $3,123 32%
Cofinity $123 - $2,866 35%
Asr/Physicians Care $124 - $2,939 35%
Cigna $129 - $794 36%
Nomi Health $132 - $2,939 37%
Employee Benefits Logistics $140 - $591 39%
Munson Hospice $852 - $2,572 239%
Hospice Of Michigan $2,204 618%
Medical Cost Savings Solution $2,939 825%
The Robbins Group And Regency Employee Benefits $2,939 825%
Wds Enterprise Group Planning $2,939 825%
First Health/Coventry Network $3,123 876%
Three Rivers Provider Network $3,123 876%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals