CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,071
  • Cash Discount Price: $3,214
  • vs. Medicare Baseline: 11.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Intermountain Health Garfield Memorial Hospital is $4,071. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,214. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.42x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.
Cash / Self-Pay
$3,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,071

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: $3,214 (902%)
Insurance Median: $4,071 (1142%)
Cash: $3,214 (902% of Medicare)
Ins. Median: $4,071 (1142% 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 1142% of the Medicare baseline (a markup of 1042%). 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 $85 - $4,114 24%
Health Choice Utah $85 - $3,814 24%
Healthy U $85 - $3,814 24%
Medicare (plans) $85 - $1,629 24%
Molina $85 - $4,071 24%
Molina Healthcare Of Utah $85 - $4,071 24%
Selecthealth $85 - $4,071 24%
Triwest $85 - $2,208 24%
Uofu $85 - $4,071 24%
Byu Athletic Department $1,206 - $4,071 338%
Campbell Scientific $1,206 - $4,071 338%
Cigna $1,206 - $4,071 338%
Deseret Mutual $1,206 - $4,071 338%
Emi Health $1,206 - $4,071 338%
Franklin County $1,206 - $4,071 338%
Health Utah $1,206 - $4,071 338%
Juniper Systems $1,206 - $4,071 338%
Lw Miller $1,206 - $4,071 338%
Managed Care Administrators, Inc. $1,206 - $4,071 338%
Motivhealth $1,206 - $4,071 338%
Pehp $1,206 - $4,071 338%
Prodegi Corporate Benefit Services, Llc $1,206 - $4,071 338%
Tanner Llc $1,206 - $4,071 338%
Utah State University $1,206 - $4,071 338%
Utah Tech University $1,206 - $4,071 338%
Wise $1,206 - $4,071 338%
Tricare $1,856 - $2,208 521%
UnitedHealthcare $3,514 - $3,600 986%
Blue Cross Blue Shield $4,071 1142%
Hygeia Corporation $4,071 1142%
Medcare International $4,071 1142%
Springtide $4,071 1142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 North 400 East, Panguitch, UT 84759
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals