CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $238
  • Cash Discount Price: $2,292
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Munson Healthcare Cadillac Hospital is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,292. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.98x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$2,292

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $2,292 (940%)
Insurance Median: $238 (98%)
Cash: $2,292 (940% of Medicare)
Ins. Median: $238 (98% 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
Mclaren Health Plan $52 - $1,708 21%
Meridian $52 - $124 21%
Molina $52 - $257 21%
Priority Health $52 - $361 21%
UnitedHealthcare $52 - $1,682 21%
Blue Cross Blue Shield $53 - $298 22%
American Health Associates $78 - $238 32%
Autumnwood Of Mcbain Skilled Nursing $78 - $238 32%
Blue Care Network $78 - $238 32%
Hap (Health Alliance Plan) $78 - $2,170 32%
Humana $78 - $238 32%
Medicare (plans) $78 - $238 32%
Michigan Amish Medical Board $78 - $238 32%
Promedica $78 - $238 32%
Samaritas Senior Living Skilled Nursing $78 - $238 32%
Wellcare (Meridian) $78 - $238 32%
Provider Network Of America Group Health $110 - $2,306 45%
Aetna $117 - $2,062 48%
Cofinity $117 - $2,116 48%
Asr/Physicians Care $118 - $2,170 48%
Cigna $123 - $361 50%
Employee Benefits Logistics $133 - $404 55%
Munson Hospice $852 - $1,899 350%
Hospice Of Michigan $1,608 - $1,628 660%
Enterprise Group Planning/Employee Benefit Plan $2,144 - $2,170 880%
Medical Cost Savings Solution $2,144 - $2,170 880%
Nomi Health $2,144 - $2,170 880%
Robbing Group And Regency Employee Benefits $2,144 - $2,170 880%
First Health/Coventry Network $2,278 - $2,306 934%
Three Rivers Provider Network $2,278 - $2,306 934%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals