CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: M Health Fairview Ridges Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $268
  • Cash Discount Price: $547
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at M Health Fairview Ridges Hospital is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $547. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.10x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.
Cash / Self-Pay
$547

Average discount available for prompt cash payment at this facility.

Insurance Median
$268

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: $547 (224%)
Insurance Median: $268 (110%)
Cash: $547 (224% of Medicare)
Ins. Median: $268 (110% 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.

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 $57 - $1,359 23%
Itasca Medical Care $57 - $235 23%
Primewest $57 - $235 23%
South Country Health Alliance $57 - $235 23%
Ucare $58 - $540 24%
Medica $60 - $841 25%
Hennepin Health $64 - $246 26%
Blue Cross Blue Shield $65 - $640 27%
Sanford Health Plan $77 - $758 32%
Security Health Plan $77 - $965 32%
UnitedHealthcare $77 - $718 32%
Wellcare $77 - $235 32%
America'S Ppo $226 - $926 93%
First Health $244 - $1,055 100%
Multiplan $253 - $1,093 104%
Private Healthcare Systems $253 - $1,093 104%
Wisconsin Physician Services $268 - $1,158 110%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 East Nicollet Boulevard, Burnsville, MN 55337
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals