CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Intermountain Health Sevier Valley Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,557
  • Cash Discount Price: $2,808
  • vs. Medicare Baseline: 14.59x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Intermountain Health Sevier Valley Hospital is $3,557. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,808. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.59x the Medicare baseline. Located in 1000 North Main Street, Richfield, UT.
Cash / Self-Pay
$2,808

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,557

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: $2,808 (1152%)
Insurance Median: $3,557 (1459%)
Cash: $2,808 (1152% of Medicare)
Ins. Median: $3,557 (1459% 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 1459% of the Medicare baseline (a markup of 1359%). 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
Aetna $82 - $3,595 34%
American Health $82 - $269 34%
Health Partners Of Nevada $82 - $259 34%
Health Plan Of Nevada $82 - $3,333 34%
Healthy U $82 - $3,333 34%
Humana $82 - $3,557 34%
Molina $82 - $3,557 34%
Selecthealth $82 - $3,557 34%
UnitedHealthcare $82 - $3,557 34%
Triwest $232 95%
Awh Connected $934 - $3,595 383%
Blue Cross Blue Shield $934 - $3,557 383%
Byu Athletics $934 - $3,557 383%
Campbell Scientific $934 - $3,557 383%
Cigna $934 - $3,557 383%
Deseret Mutual $934 - $3,557 383%
Emi $934 - $3,557 383%
Emi Health $934 - $3,557 383%
Franklin County $934 - $3,557 383%
Health Utah $934 - $3,557 383%
Ifit $934 - $3,557 383%
Juniper Systems $934 - $3,557 383%
Lw Miller $934 - $3,557 383%
Managed Care Admin $934 - $3,557 383%
Motivhealth $934 - $3,557 383%
Pehp $934 - $3,557 383%
Prodegi Corp Benefit $934 - $3,557 383%
Tanner Llc $934 - $3,557 383%
Utah Tech $934 - $3,557 383%
Wise Network $934 - $3,557 383%
Injury Care Of Nevada $2,808 1152%
Byu Risk Management $3,183 1306%
Corporation Of The President $3,183 1306%
Corvel Corporation $3,183 1306%
Wcf Insurance $3,183 1306%
Global Excel $3,557 1459%
Hygeia Corporation $3,557 1459%
Medcare International $3,557 1459%
Springtide $3,557 1459%
Uofu $3,557 1459%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 North Main Street, Richfield, UT 84701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals