CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Monument Health Rapid City Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,666
  • Cash Discount Price: $5,471
  • vs. Medicare Baseline: 10.29x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Monument Health Rapid City Hospital is $3,666. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,471. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.29x the Medicare baseline. Located in 353 Fairmont Blvd, Rapid City, SD.
Cash / Self-Pay
$5,471

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,666

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: $5,471 (1535%)
Insurance Median: $3,666 (1029%)
Cash: $5,471 (1535% of Medicare)
Ins. Median: $3,666 (1029% 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 1029% of the Medicare baseline (a markup of 929%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
UnitedHealthcare $304 - $3,611 85%
Va Black Hills Health Care System 12115 [3081206] $304 85%
Humana $319 - $4,924 89%
Tricare $376 - $1,532 105%
Healthpartners [3081368] $393 110%
Risk Admin Svs [3081167] $609 - $4,377 171%
Blue Cross Blue Shield $1,053 295%
Minnesota Health Care Programs 12K16 [3081295] $1,658 465%
Health Partners Sx009 [3081102] $3,392 952%
Coresource 38225 [3081146] $3,556 - $3,720 998%
Govt Employees Health Assn [3081090] $3,611 1013%
National Telephone Cooperative Assn 52103 [3081149] $3,611 1013%
Surest [3081369] $3,611 1013%
United Medical Resources 39026 [3081194] $3,611 1013%
Avera Health Plans 46045 [3081018] $4,021 1128%
Rocky Mountain Admin Llc 83028 [3081168] $4,377 1228%
Medica (Commercial) 94265 [3081118] $4,541 1274%
Employee Benefit Management 12X44 [3081079] $4,650 1305%
Pacificsource Health Plans [3081333] $4,650 1305%
Aetna $4,924 1381%
Group And Pension Administrators Inc [3081098] $4,924 1381%
Multiplan Inc 34080 [3081285] $4,924 1381%
Sanford Health Plan 91184 [3081174] $4,924 1381%
Tlc Advantage Llc [3081189] $5,143 1443%
Fedmed Inc [3081283] $5,197 1458%
Allied Benefit Systems Inc [3081320] $5,252 1474%
Cigna $5,252 1474%
Key Benefit Administrators [3081332] $5,252 1474%
Meritain Health [3081135] $5,252 1474%
Midlands Choice 47080 [3081136] $5,252 1474%
Preferred One 41147 [3081160] $5,252 1474%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 353 Fairmont Blvd, Rapid City, SD 57701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals