CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Unitypoint Health - Meriter

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $247
Cash Discount Price: $3,175
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Unitypoint Health - Meriter is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,175. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$3,175

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $3,175 (1302%)

Insurance Median: $247 (101%)

Cash: $3,175 (1302% of Medicare)

Ins. Median: $247 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

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
Aspirus	$77 - $2,381	32%
Blue Cross Blue Shield	$77 - $3,770	32%
Illinicare	$77 - $233	32%
Prevea 360	$77 - $3,373	32%
UnitedHealthcare	$77 - $1,639	32%
Humana	$80 - $233	33%
Meridiancare	$80 - $233	33%
Health Partners Open Network	$174 - $1,448	71%
Medical Associates Health Plan	$254 - $1,429	104%
Wellmark Uph Self-Funded	$1,098 - $2,291	450%
Cigna	$1,190	488%
Security Health Plan	$1,230	505%
Quartz	$1,238	508%
Mercy Care	$1,317	540%

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 $3,175.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Unitypoint Health - Meriter is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.