CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Chippewa County Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$770
about 2.2× the $356 Medicare rate · typically $283–$1,485
modeled estimate · not a bill or quote
What this hospital charges insurers
$788
About the fair price
about $18 over the fair price · 2.2× Medicare
Medicare pays $356 Fair price $770 This hospital $788 Cash price $2,637 Hospital's list price $4,057

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 $96 Priciest $788

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $770 (about 2.2× the $356 Medicare rate). Chippewa County Hospital charges insurers about $788, or about $2,637 in cash — about the fair price. Located in Montevideo, MN.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $788 221%
HealthPartners $1,663 - $3,619 467%
Medica $1,663 - $3,538 467%
UCare $1,663 - $1,913 467%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 824 North 11Th Street, Montevideo, MN 56265
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals