CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Fairview Bethesda Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $970
Cash Discount Price: $731
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Fairview Bethesda Hospital is $970. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.72x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$731

Average discount available for prompt cash payment at this facility.

Insurance Median

$970

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: $731 (205%)

Insurance Median: $970 (272%)

Cash: $731 (205% of Medicare)

Ins. Median: $970 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
Health Partners	$59 - $1,427	17%
Itasca Medical Care	$59 - $355	17%
Primewest	$59 - $355	17%
South Country Health Alliance	$59 - $355	17%
Ucare	$60 - $822	17%
Medica	$63 - $1,325	18%
Hennepin Health	$67 - $363	19%
Blue Cross Blue Shield	$68 - $1,080	19%
Sanford Health Plan	$80 - $1,079	22%
Security Health Plan	$80 - $1,374	22%
UnitedHealthcare	$80 - $1,174	22%
Wellcare	$80 - $355	22%
America'S Ppo	$788 - $1,319	221%
First Health	$1,241 - $1,502	348%
Multiplan	$1,286 - $1,557	361%
Private Healthcare Systems	$1,286 - $1,557	361%
Wisconsin Physician Services	$1,362 - $1,649	382%

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 $731.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fairview Bethesda Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.