CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Frances Mahon Deaconess Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,023
Cash Discount Price: $1,764
vs. Medicare Baseline: 2.87x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Frances Mahon Deaconess Hospital is $1,023. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,764. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.87x the Medicare baseline. Located in 621 3Rd St S, Glasgow, MT.

Cash / Self-Pay

$1,764

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,023

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: $1,764 (495%)

Insurance Median: $1,023 (287%)

Cash: $1,764 (495% of Medicare)

Ins. Median: $1,023 (287% 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 287% of the Medicare baseline (a markup of 187%). 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
Ihs-All Plans	$84 - $1,576	24%
UnitedHealthcare	$84 - $3,255	24%
Blue Cross Blue Shield	$96 - $3,186	27%
Humana	$96 - $1,576	27%
Montana Co-Op-All Plans	$150 - $3,323	42%
Cigna	$168 - $3,255	47%
First Choice Health-All Plans	$395 - $3,255	111%
Allegiance Mt	$420 - $3,255	118%
Geha-All Plans	$459 - $3,323	129%
Interwest-All Plans	$459 - $3,255	129%
Health Infonet-All Plans	$469 - $3,255	132%
Multiplan-All Plans	$469 - $3,255	132%
Pacific Source-All Plans	$469 - $3,255	132%
Three Rivers-All Plans	$469 - $3,255	132%

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 $1,764.
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 Frances Mahon Deaconess 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.