CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Bellin Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$407
about 1.7× the $244 Medicare rate · typically $240–$881
modeled estimate · not a bill or quote
What this hospital charges insurers
$444
About the fair price
about $37 over the fair price · 1.8× Medicare
Medicare pays $244 Fair price $407 This hospital $444 Cash price $607 Hospital's list price $934

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $77 Priciest $444

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

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $407 (about 1.7× the $244 Medicare rate). Bellin Memorial Hospital charges insurers about $444, or about $607 in cash — about the fair price. Located in Green Bay, WI.

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 $233 - $936 96%
Blue Cross Blue Shieldmajor $241 - $703 99%
Aetnamajor $224 - $241 92%
Cignamajor $658 - $666 270%
Humanamajor $224 - $525 92%
+ 12 smaller / regional plans $224 - $1,628
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 744 S Webster Ave, Green Bay, WI 54301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals