CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $302
  • Cash Discount Price: $4,953
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Munson Healthcare Manistee Hospital is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,953. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.85x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$4,953

Average discount available for prompt cash payment at this facility.

Insurance Median
$302

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: $4,953 (1390%)
Insurance Median: $302 (85%)
Cash: $4,953 (1390% of Medicare)
Ins. Median: $302 (85% 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 - $4,370 15%
Meridian $55 - $182 15%
Molina $55 - $375 15%
Priority Health $55 - $794 15%
UnitedHealthcare $55 - $5,244 15%
Blue Cross Blue Shield $56 - $2,923 16%
Aetna $82 - $5,035 23%
Hap (Health Alliance Plan) $82 - $4,662 23%
Humana $82 - $348 23%
Medicare (plans) $82 - $348 23%
Michigan Amish Medical Board $82 - $348 23%
Northern Michigan Mennonite Group $82 - $348 23%
Prime Health Services $82 - $5,361 23%
Wellcare Meridian $82 - $348 23%
Provider Network Of America $115 - $4,953 32%
Cofinity $123 - $5,128 35%
Asr/Physicians Care $124 - $4,662 35%
Cigna $129 - $794 36%
Nomi Health $132 - $4,662 37%
Employee Benefits Logistics $140 - $591 39%
Munson Hospice $852 - $4,079 239%
Hospice Of Michigan $3,496 981%
Enterprise Group Planning/Employee Benefits Plan $4,662 1308%
Medical Cost Savings Solution $4,662 1308%
Three Rivers Provider Network $4,953 1390%
Multiplan $5,128 1439%
Great West Healthcare $5,244 1471%

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