CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $914
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Intermountain Health St Vincent Regional Hospital is $914. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.75x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$914

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%)

Insurance Median: $914 (375%)

Ins. Median: $914 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Medicare (plans)	$242	99%
UnitedHealthcare	$247 - $1,123	101%
Exchange Other	$267 - $802	110%
Mt Health Co-Op	$267 - $802	110%
First Choice Health	$294 - $1,091	121%
Other	$294 - $1,091	121%
Allegiance	$337 - $1,099	138%
Cigna	$337 - $1,099	138%
Ebms-Employee Benefit Mng	$337 - $1,049	138%
Meritain Health	$337 - $914	138%
Pacificsource	$367 - $1,107	151%
Sibanye Stillwater Health Partners	$459	188%
Coastal Administrative Services	$483	198%
Pacific Steel And Recycling	$604	248%
Aetna	$778	319%
Blue Cross Blue Shield	$917 - $1,058	376%
Preferred One	$1,049 - $1,136	430%
Interwest	$1,099	451%
Private Hlthcare Sys	$1,111	456%
Geha	$1,123	461%

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 $X.
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 Intermountain Health St Vincent Regional Hospital 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.