CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Daniels Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,347
Cash Discount Price: $3,428
vs. Medicare Baseline: 13.73x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Daniels Memorial Hospital is $3,347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,428. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.73x the Medicare baseline. Located in 105 5Th Ave E, Scobey, MT.

Cash / Self-Pay

$3,428

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,347

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: $3,428 (1406%)

Insurance Median: $3,347 (1373%)

Cash: $3,428 (1406% of Medicare)

Ins. Median: $3,347 (1373% 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 1373% of the Medicare baseline (a markup of 1273%). 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
Allegiance Comml-All Other Plans	$68 - $3,831	28%
Allegiance Mcr	$68 - $2,420	28%
UnitedHealthcare	$68 - $3,791	28%
Triwest Ccn-All Plans	$80 - $2,420	33%
First Choice Health -All Plans	$305	125%
Pacific Source Comml-All Plans	$321 - $3,831	132%
Geha - All Plans	$3,347	1373%
Montana Health Co-Op Hpn	$3,428	1406%
Blue Cross Blue Shield	$3,517	1443%
Montana Health Co-Op-All Other Plans	$3,831	1572%
Interwest Ppo - All Plans	$3,912	1605%

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 $3,428.
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 Daniels Memorial 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.