CT scan, abdomen and pelvis (no contrast)
Facility: SSM Health St Mary's Hospital - Madison
Billing Code: 74176 (CPT)
This hospital's typical commercial price is $908 compared to the $418 fair price benchmark.
4-Star CMS clinical quality rating paired with 2.17× fair market pricing.
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a CT scan, abdomen and pelvis (no contrast) is about $418 (about 1.7× the $244 Medicare rate). SSM Health St Mary's Hospital - Madison charges insurers about $908, or about $2,775 in cash — well above the fair price. Located in Madison, WI.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $418. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $908 - $964 | 372% |
| Dean Health Plan | $232 | 95% |
| Molina | $174 | 71% |
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.
Other Procedures at SSM Health St Mary's Hospital - Madison
Compare: CT scan, abdomen and pelvis (no contrast) at other WI hospitals
- Aspirus Merrill Hospital · Merrill $70
- Aspirus Eagle River Hospital · Eagle River $77
- Aspirus Tomahawk Hospital · Tomahawk $77
- Black River Memorial Hospital · Black River Falls $77
- Memorial Hospital of Lafayette County · Darlington $89
- Richland Hospital · Richland Center $113
- Crossing Rivers Health Medical Center · Prairie Du Chien $132
- Tomah Memorial Hospital · Tomah $157
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at SSM Health St Mary's Hospital - Madison (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,831
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,831).
Self-Pay Cash Rate ($2,775) Beats Your Bill
SSM Health St Mary's Hospital - Madison's published 45 CFR § 180 self-pay cash rate is $2,775 (vs. $908 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $418 Fair BaseRate ($244 Medicare)
Your bill ($5,045) is $4,627 above the denoised Fair BaseRate ($418) and 20.7× the $244 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.