CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Owatonna Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,014
Cash Discount Price: $1,825
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Owatonna Hospital is $1,014. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,825. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.84x the Medicare baseline. Located in 2250 26Th Street Northwest, Owatonna, MN.

Cash / Self-Pay

$1,825

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,014

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: $1,825 (512%)

Insurance Median: $1,014 (284%)

Cash: $1,825 (512% of Medicare)

Ins. Median: $1,014 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$318 - $981	89%
Medicaid / KanCare	$332	93%
Aetna	$342 - $1,937	96%
Medicare (plans)	$355 - $360	100%
South Country Health Alliance	$359	101%
Medica	$370 - $1,036	104%
Medica Health System	$574 - $1,090	161%
Healthpartners	$650	182%
Ucare Pmap (A B C D E G N O S U R H)	$656	184%
Health Partners	$709	199%
Medica Mhps	$1,036	291%
UnitedHealthcare	$1,364	383%
Medica Ubh (O)	$2,281 - $2,737	640%
Americas Ppo (Araz)(B D N O R S V)	$2,514	705%
Medica Ubh Pmap	$2,607	731%
Americas Ppo (Araz) (B D N H O R S)	$2,737	768%
First Health (A C E G H U B D N O R S)	$2,737	768%
All Other Contracted Care (A B C D E G H N O R S U)	$3,259	914%

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 $1,825.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Owatonna Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.