CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,782
  • Cash Discount Price: $2,664
  • vs. Medicare Baseline: 5.00x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Essentia Health St Joseph's Medical Center is $1,782. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,664. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.00x the Medicare baseline. Located in 523 North 3Rd Street, Brainerd, MN.
Cash / Self-Pay
$2,664

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,782

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: $2,664 (747%)
Insurance Median: $1,782 (500%)
Cash: $2,664 (747% of Medicare)
Ins. Median: $1,782 (500% 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 500% of the Medicare baseline (a markup of 400%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Itasca Med Care $357 100%
Primewest $371 104%
Advocare/Security Health $384 108%
Blue Cross Blue Shield $384 - $2,771 108%
Freedom Blue Ppo $384 108%
Healthpartners Care Msho / Mcr Adv $384 108%
Imcare Msho Pcc Prime $384 108%
Imcare Msho Ref Req $384 108%
Medica Advantage Solutions $384 108%
Medica Msho/Dual Solutions $384 108%
Medica Prime Solution Group $384 108%
Medicare (plans) $384 108%
Nd Va Administration $384 108%
Platinum Blue/Vantage Blue $384 108%
Primewest Msho $384 108%
Secure Blue Msho $384 108%
Ubh Cost Plan $384 108%
Ubh Msho $384 108%
Ucare Msho $384 108%
UnitedHealthcare $384 - $3,013 108%
Medica Access $1,251 351%
Blue Plus Pmap Pcc Prime $1,396 - $2,502 392%
Sanford Health Plan $1,698 - $1,787 476%
Healthpartners Care Pmap $1,702 478%
Medica $2,518 - $2,799 706%
Medica Uplan $2,518 706%
Ucare $2,605 731%
Wea $2,850 - $3,048 800%
Medica Choice $2,882 809%
Cigna $2,910 816%
Healthpartners $2,910 816%
Healthpartners Pcc Prime $2,910 816%
America'S Ppo $3,068 861%
Wps $3,286 - $3,326 922%
Aetna $3,365 944%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 523 North 3Rd Street, Brainerd, MN 56401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals