CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Josephs Area Health Services

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,423
Cash Discount Price: $882
vs. Medicare Baseline: 5.84x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at St Josephs Area Health Services is $1,423. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $882. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.84x the Medicare baseline. Located in 600 Pleasant Avenue, Park Rapids, MN.

Cash / Self-Pay

$882

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,423

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: $882 (362%)

Insurance Median: $1,423 (584%)

Cash: $882 (362% of Medicare)

Ins. Median: $1,423 (584% 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 584% of the Medicare baseline (a markup of 484%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$433 - $2,574	178%
Humana	$545 - $1,434	224%
Medica	$545 - $1,521	224%
Prime West Health	$545 - $1,477	224%
Health Partners	$561 - $3,713	230%
South Country Health Alliance	$561 - $1,477	230%
Ucare	$573 - $3,713	235%
United	$1,171 - $3,502	480%
Sanford Health Plan	$1,524 - $4,008	625%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $882.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Josephs Area Health Services is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.