CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lisbon Area Health Services

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$552
about 2.3× the $244 Medicare rate · typically $169–$1,677
modeled estimate · not a bill or quote
Medicare pays $244 Fair price $552 Cash price $1,301 Hospital's list price $2,323

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,696 - $1,928 696%
Blue Cross Blue Shieldmajor $1,208 - $1,649 496%
HealthPartners $2,207 905%
Medica $1,185 - $2,230 486%
Sanford Health Plan $2,114 867%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 905 Main St, Lisbon, ND 58054
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals