CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: CHI Mercy Health

Billing Code: 74177 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,117
about 3.1× the $356 Medicare rate · typically $301–$3,381
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $1,117 Cash price $2,014 Hospital's list price $3,356

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 $2,450 - $2,785 687%
Blue Cross Blue Shieldmajor $1,198 - $1,443 336%
HealthPartners $3,222 904%
Medica $1,208 - $3,222 339%
Sanford Health Plan $2,752 772%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 570 Chautauqua Blvd, Valley City, ND 58072
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals