CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Intermountain Health Sevier Valley Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$292
about 1.2× the $244 Medicare rate · typically $198–$395
modeled estimate · not a bill or quote
What this hospital charges insurers
$279
About the fair price
about $13 under the fair price · 1.1× Medicare
Medicare pays $244 Fair price $292 This hospital $279 Cash price $2,808 Hospital's list price $3,745

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $101 Priciest $279

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $292 (about 1.2× the $244 Medicare rate). Intermountain Health Sevier Valley Hospital charges insurers about $279, or about $2,808 in cash — about the fair price. Located in Richfield, UT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $82 - $3,557 34%
Blue Cross Blue Shieldmajor $934 - $3,557 383%
Aetnamajor $82 - $3,595 34%
Cignamajor $934 - $3,557 383%
Humanamajor $82 - $3,557 34%
HealthPartners $82 - $259 34%
Molina $82 - $3,557 34%
SelectHealth $82 - $3,557 34%
+ 30 smaller / regional plans $82 - $3,595
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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