CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lifecare Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $234
  • Cash Discount Price: $1,193
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lifecare Medical Center is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,193. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.66x the Medicare baseline. Located in 715 Delmore Drive, Roseau, MN.
Cash / Self-Pay
$1,193

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $1,193 (335%)
Insurance Median: $234 (66%)
Cash: $1,193 (335% of Medicare)
Ins. Median: $234 (66% 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.

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
UnitedHealthcare $70 - $1,034 20%
Blue Cross Blue Shield $82 - $2,026 23%
Medica Mcr Adv $82 - $1,034 23%
Medica Msho $90 - $1,532 25%
Medica Comm - All Other Plans $111 - $2,394 31%
Health Partners - All Plans $128 - $2,463 36%
Ucare - All Other Plans $131 - $2,709 37%
Ucare Mcr Adv $131 - $1,232 37%
Ucare Mcr Select $131 - $1,232 37%
Ucare Sr Hlth Options (Msho) $131 - $1,232 37%
Sanford-All Plans $164 - $2,340 46%
Medica Mcaid $234 - $1,138 66%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 Delmore Drive, Roseau, MN 56751
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals