CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: M Health Fairview St John's Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$211
about 0.9× the $244 Medicare rate · typically $202–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$211
About the fair price
0.9× Medicare
Medicare pays $244 Fair price $211 This hospital $211 Cash price $514 Hospital's list price $1,281

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $92 Priciest $211

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $211 (about 0.9× the $244 Medicare rate). M Health Fairview St John's Hospital charges insurers about $211, or about $514 in cash — about the fair price. Located in Maplewood, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $77 - $718 32%
Blue Cross Blue Shieldmajor $65 - $640 27%
HealthPartners $57 - $1,359 23%
Medica $60 - $841 25%
Sanford Health Plan $77 - $758 32%
Security Health Plan $77 - $965 32%
UCare $58 - $540 24%
WellCare $77 - $235 32%
+ 5 smaller / regional plans $57 - $1,158
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1575 Beam Avenue, Maplewood, MN 55109
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals