CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Thedacare Regional Medical Center - Appleton Inc

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$354
about 1.5× the $244 Medicare rate · typically $265–$639
modeled estimate · not a bill or quote
What this hospital charges insurers
$618
Above the fair price
about $264 over the fair price · 2.5× Medicare
Medicare pays $244 Fair price $354 This hospital $618 Cash price $1,904 Hospital's list price $3,400

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 $618

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

⚠ 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 $354 (about 1.5× the $244 Medicare rate). Thedacare Regional Medical Center - Appleton Inc charges insurers about $618, or about $1,904 in cash — above the fair price. Located in Appleton, 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 $354. 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.

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 $139 - $1,513 57%
Blue Cross Blue Shieldmajor $228 - $1,386 94%
Aetnamajor $2,934 1204%
Cignamajor $2,666 1094%
Humanamajor $228 94%
HealthPartners $542 222%
Quartz $2,354 966%
+ 1 smaller / regional plan $2,345 - $2,427
Government programs also on file: Medicare, Medicaid.

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.

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Facility Profile & Credentials

  • Address: 1818 N Meade St, Appleton, WI 54911
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals