CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Marshfield Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,399
Cash Discount Price: $2,533
vs. Medicare Baseline: 6.73x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Marshfield Medical Center is $2,399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,533. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.73x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$2,533

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,399

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: $2,533 (711%)

Insurance Median: $2,399 (673%)

Cash: $2,533 (711% of Medicare)

Ins. Median: $2,399 (673% 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 673% of the Medicare baseline (a markup of 573%). 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)	$1,188 - $1,748	333%
Family Health Center (Fhc)	$1,333	374%
Amish/Mennonite	$1,466	411%
Sanford Health Plan	$1,466	411%
Blue Cross Blue Shield	$1,609 - $1,838	451%
The Alliance	$1,853 - $2,226	520%
UnitedHealthcare	$1,964	551%
Group Health Cooperative Of Eau Claire	$2,186 - $2,453	613%
Besse Forest Products	$2,266	636%
Molina Healthcare Of Wi	$2,266	636%
Rice Lake School District	$2,266	636%
Wps Health Insurance	$2,351 - $2,573	660%
Trilogy	$2,399 - $2,559	673%
Medica Of Wi	$2,474 - $2,525	694%
Cigna	$2,506	703%
Healtheos By Multiplan Inc.	$2,506 - $2,533	703%
Corvel	$2,533	711%
First Health	$2,533	711%
Health Partners	$2,533	711%
Three Rivers Provider Network (Trpn)	$2,533	711%
Coventry	$2,559	718%
Health Smart	$2,559	718%
Rising Medical Work Comp	$2,586	726%

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 $2,533.
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 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.