CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Aurora Medical Ctr Manitowoc County

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,014
  • Cash Discount Price: $3,140
  • vs. Medicare Baseline: 2.84x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Aurora Medical Ctr Manitowoc County is $1,014. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,140. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.84x the Medicare baseline. Located in 5000 Memorial Drive, Two Rivers, WI.
Cash / Self-Pay
$3,140

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,014

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: $3,140 (881%)
Insurance Median: $1,014 (284%)
Cash: $3,140 (881% of Medicare)
Ins. Median: $1,014 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Aurora Caregiver $475 133%
UnitedHealthcare $538 - $5,288 151%
Blue Cross Blue Shield $556 - $5,338 156%
Healthpartners $796 - $4,710 223%
Molina Exchange $796 223%
Common Ground $812 228%
Centivo $820 230%
Aetna $836 - $5,187 235%
Health Payment Systems $875 245%
Quartz One $900 253%
Everpointe Elite $983 276%
Quartz Group $1,000 281%
Hs Technology $1,014 284%
Wisconsin Physician Service $1,128 - $1,187 316%
Trilogy $1,170 328%
Cigna $1,700 - $5,313 477%
Health Eos Plus $3,768 1057%
Health Eos $5,024 1410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5000 Memorial Drive, Two Rivers, WI 54241
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals