CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: North Memorial Health Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $456
Cash Discount Price: $489
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at North Memorial Health Hospital is $456. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $489. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.87x the Medicare baseline. Located in 3300 Oakdale North, Robbinsdale, MN.

Cash / Self-Pay

$489

Average discount available for prompt cash payment at this facility.

Insurance Median

$456

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: $489 (201%)

Insurance Median: $456 (187%)

Cash: $489 (201% of Medicare)

Ins. Median: $456 (187% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Partners [1061]	$179 - $613	73%
Blue Cross Blue Shield	$191 - $473	78%
Medicaid / KanCare	$218	89%
Humana	$245	101%
Medicare (plans)	$245	101%
Ucare [1148]	$245 - $447	101%
Medica [1086]	$247 - $1,432	101%
UnitedHealthcare	$254 - $596	104%
Aetna	$266	109%
Cigna	$602	247%
America'S Ppo [1010]	$627 - $667	257%
Phcs [1172]	$695	285%
Multiplan [1176]	$742	304%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $489.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm North Memorial Health Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.