CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Health Saint Mary's

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$251
about 1.0× the $244 Medicare rate · typically $193–$461
modeled estimate · not a bill or quote
What this hospital charges insurers
$167
Below the fair price — a good deal
about $84 under the fair price · 0.7× Medicare
Medicare pays $244 Fair price $251 This hospital $167 Cash price $1,713 Hospital's list price $2,636

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $65 Priciest $167

Black dot = this hospital, among the 9 MI 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 (no contrast) is about $251 (about 1.0× the $244 Medicare rate). Mercy Health Saint Mary's charges insurers about $167, or about $1,713 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $245 - $2,636 101%
Blue Cross Blue Shieldmajor $133 - $233 55%
Aetnamajor $129 - $2,088 53%
Cignamajor $1,923 789%
Humanamajor $2,006 - $2,636 823%
Kaiser Permanentemajor $167 69%
AmeriHealth $2,006 823%
CareSource $1,722 706%
Dean Health Plan $1,924 789%
GEHA $129 - $2,003 53%
Medical Mutual $129 53%
Molina $309 127%
MVP Health Care $1,924 789%
Oscar Health $304 125%
Paramount $1,924 789%
Priority Health $562 - $577 231%
UniCare $2,006 823%
+ 144 smaller / regional plans $129 - $2,636
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals