CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Essentia Health Moose Lake

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$352
about 1.0× the $356 Medicare rate · typically $281–$1,101
modeled estimate · not a bill or quote
What this hospital charges insurers
$364
About the fair price
about $12 over the fair price · 1.0× Medicare
Medicare pays $356 Fair price $352 This hospital $364 Cash price $2,528 Hospital's list price $3,421

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 $364

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 $352 (about 1.0× the $356 Medicare rate). Essentia Health Moose Lake charges insurers about $364, or about $2,528 in cash — about the fair price. Located in Moose Lake, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,608 - $3,096 451%
Blue Cross Blue Shieldmajor $253 - $2,395 71%
Aetnamajor $2,908 816%
Cignamajor $2,668 - $2,727 749%
HealthPartners $1,375 - $2,727 386%
Medica $1,362 - $2,802 382%
Sanford Health Plan $1,467 - $1,545 412%
Security Health Plan $1,608 451%
UCare $1,608 - $2,251 451%
+ 12 smaller / regional plans $253 - $2,634
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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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