CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Perham Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,440
  • Cash Discount Price: $2,600
  • vs. Medicare Baseline: 4.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Perham Health is $1,440. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,600. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.04x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$2,600

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,440

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: $2,600 (729%)
Insurance Median: $1,440 (404%)
Cash: $2,600 (729% of Medicare)
Ins. Median: $1,440 (404% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 404% of the Medicare baseline (a markup of 304%). 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
Medica Mn (Msho) $546 153%
Medica Mn Senior Hp/Outside Mn $546 153%
Blue Cross Blue Shield $1,216 - $1,360 341%
Health Partners Mcr Adv $1,360 382%
Humana $1,360 382%
Medica Mcr Adv $1,360 382%
Medicare (plans) $1,360 - $1,512 382%
Ucare Mn Senior Health Options $1,360 382%
UnitedHealthcare $1,400 - $3,120 393%
Ucare Mn Special Needs Basic Care Dual $1,428 401%
Ucare Mn Medical Assistance $1,440 404%
Ucare Mn Minnesota Care $1,440 404%
Ucare Mn Senior Care Plus $1,440 404%
Ucare Mn Special Needs Basic Care $1,440 404%
Medicaid / KanCare $1,442 405%
Medica Mcaid Mn Care $1,464 411%
Ucare Individual And Family Plan-All Other Plans $1,656 465%
Medica Commercial-All Other Plans $1,900 533%
Health Partners Minnesota Care $2,000 561%
Preferred One (Pchp, Pic, Pas)-All Other Plans $3,000 842%
Health Partners-All Plans $3,280 920%
Preferred One (Ppo) $3,400 954%
Sanford Health Plan-All Plans $3,400 954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals