CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $173
  • Cash Discount Price: $4,650
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Munson Healthcare Manistee Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,650. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.71x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$4,650

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $4,650 (1908%)
Insurance Median: $173 (71%)
Cash: $4,650 (1908% of Medicare)
Ins. Median: $173 (71% 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 - $4,103 21%
Meridian $52 - $124 21%
Molina $52 - $257 21%
Priority Health $52 - $361 21%
UnitedHealthcare $52 - $4,924 21%
Blue Cross Blue Shield $53 - $2,745 22%
Aetna $78 - $4,727 32%
Hap (Health Alliance Plan) $78 - $4,377 32%
Humana $78 - $238 32%
Medicare (plans) $78 - $238 32%
Michigan Amish Medical Board $78 - $238 32%
Northern Michigan Mennonite Group $78 - $238 32%
Prime Health Services $78 - $5,033 32%
Wellcare Meridian $78 - $238 32%
Provider Network Of America $110 - $4,650 45%
Cofinity $117 - $4,814 48%
Asr/Physicians Care $118 - $4,377 48%
Cigna $123 - $361 50%
Nomi Health $126 - $4,377 52%
Employee Benefits Logistics $133 - $404 55%
Munson Hospice $852 - $3,830 350%
Hospice Of Michigan $3,283 1347%
Enterprise Group Planning/Employee Benefits Plan $4,377 1796%
Medical Cost Savings Solution $4,377 1796%
Three Rivers Provider Network $4,650 1908%
Multiplan $4,814 1975%
Great West Healthcare $4,924 2020%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals