CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Essentia Health Moose Lake

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,744
  • Cash Discount Price: $2,197
  • vs. Medicare Baseline: 7.15x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Essentia Health Moose Lake is $1,744. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,197. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.15x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$2,197

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,744

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: $2,197 (901%)
Insurance Median: $1,744 (715%)
Cash: $2,197 (901% of Medicare)
Ins. Median: $1,744 (715% 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 715% of the Medicare baseline (a markup of 615%). 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
Blue Cross Blue Shield $161 - $2,081 66%
Blue Plus Pmap Pcc Prime $161 - $1,635 66%
Primewest $236 97%
Itasca Med Care $242 99%
Medica Access $1,183 - $1,852 485%
Healthpartners Care Pmap $1,195 490%
Sanford Healthplan $1,275 - $1,342 523%
Advocare/Security Health $1,397 573%
Freedom Blue Ppo $1,397 573%
Healthpartners Care Msho / Mcr Adv $1,397 573%
Imcare Msho Pcc Prime $1,397 573%
Imcare Msho Ref Req $1,397 573%
Medica Advantage Solutions $1,397 573%
Medica Msho/Dual Solutions $1,397 573%
Medica Prime Solution Group $1,397 573%
Medicare (plans) $1,397 573%
Nd Va Administration $1,397 573%
Platinum Blue/Vantage Blue $1,397 573%
Primewest Msho $1,397 573%
Secure Blue Msho $1,397 573%
Ubh Cost Plan $1,397 573%
Ubh Msho $1,397 573%
Ucare Msho $1,397 573%
UnitedHealthcare $1,397 - $2,691 573%
Ucare $1,956 802%
Healthpartners $2,081 - $2,369 854%
Medica $2,126 - $2,364 872%
Medica Uplan $2,126 872%
Wea $2,141 - $2,289 878%
America'S Ppo $2,304 945%
Cigna $2,319 - $2,369 951%
Healthpartners Pcc Prime $2,319 - $2,369 951%
Medica Choice $2,435 999%
Wps $2,468 - $2,497 1012%
Aetna $2,527 1037%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals