CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,518
Cash Discount Price: $2,518
vs. Medicare Baseline: 7.06x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Marshfield Medical Center - Rice Lake is $2,518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,518. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.06x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$2,518

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,518

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: $2,518 (706%)

Insurance Median: $2,518 (706%)

Cash: $2,518 (706% of Medicare)

Ins. Median: $2,518 (706% 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 706% of the Medicare baseline (a markup of 606%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Security Health Plan (Shp)	$1,286 - $1,758	361%
Family Health Center (Fhc)	$1,325	372%
Amish/Mennonite	$1,458	409%
Sanford Health Plan	$1,458	409%
The Alliance	$1,596 - $2,518	448%
Blue Cross Blue Shield	$1,608 - $1,837	451%
UnitedHealthcare	$1,964 - $2,184	551%
Group Health Cooperative Of Eau Claire	$2,173 - $2,544	610%
Molina Healthcare Of Wi	$2,252	632%
Besse Forest Products	$2,518	706%
Cigna	$2,518	706%
Corvel	$2,518	706%
First Health	$2,518	706%
Health Partners	$2,518	706%
Healtheos By Multiplan Inc.	$2,518	706%
Rice Lake School District	$2,518	706%
Medica Of Wi	$2,531 - $2,581	710%
Trilogy	$2,531 - $2,544	710%
Coventry	$2,544	714%
Health Smart	$2,544	714%
Rising Medical Work Comp	$2,570	721%
Wps Health Insurance	$2,584	725%
Three Rivers Provider Network (Trpn)	$2,597	729%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,518.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Rice Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.