CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sanford Bagley Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,628
  • Cash Discount Price: $3,476
  • vs. Medicare Baseline: 14.88x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sanford Bagley Medical Center is $3,628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,476. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.88x the Medicare baseline. Located in 203 4Th Street Northwest, Bagley, MN.
Cash / Self-Pay
$3,476

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,628

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: $3,476 (1426%)
Insurance Median: $3,628 (1488%)
Cash: $3,476 (1426% of Medicare)
Ins. Median: $3,628 (1488% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1488% of the Medicare baseline (a markup of 1388%). 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
Ucare $254 - $3,818 104%
Blue Cross Blue Shield $578 - $2,146 237%
Sanford Health Plan Align $1,981 813%
Health Partners $2,146 - $3,519 880%
Medicare (plans) $2,146 880%
UnitedHealthcare $2,146 - $3,628 880%
Primewest $2,190 - $2,342 898%
Aetna $2,329 - $3,776 955%
Security Health Plan $2,390 980%
Sanford Health Plan $3,430 - $4,035 1407%
Medica $3,819 - $4,110 1567%
Cigna $3,910 1604%
First Choice Health Network $3,910 1604%
Healthez $3,910 1604%
Multiplan $3,910 1604%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 203 4Th Street Northwest, Bagley, MN 56621
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals