CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sanford Bemidji Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,529
  • Cash Discount Price: $4,016
  • vs. Medicare Baseline: 9.90x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sanford Bemidji Medical Center is $3,529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,016. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.90x the Medicare baseline. Located in 1300 Anne St Nw, Bemidji, MN.
Cash / Self-Pay
$4,016

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,529

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: $4,016 (1127%)
Insurance Median: $3,529 (990%)
Cash: $4,016 (1127% of Medicare)
Ins. Median: $3,529 (990% 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 990% of the Medicare baseline (a markup of 890%). 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
Blue Cross Blue Shield $277 - $1,360 78%
Sanford Health Plan Align $333 93%
Ucare $358 - $3,529 100%
Aetna $361 - $4,116 101%
Health Partners $361 - $3,514 101%
Medicare (plans) $361 101%
UnitedHealthcare $361 - $4,192 101%
Primewest $368 - $393 103%
Sanford Health Plan $2,288 - $3,069 642%
Security Health Plan $2,761 775%
Medica $4,217 - $4,513 1183%
Cigna $4,518 1268%
First Choice Health Network $4,518 1268%
Healthez $4,518 1268%
Multiplan $4,518 1268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1300 Anne St Nw, Bemidji, MN 56601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals