CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Crossing Rivers Health Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,874
  • Cash Discount Price: $5,130
  • vs. Medicare Baseline: 13.67x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Crossing Rivers Health Medical Center is $4,874. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,130. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.67x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.
Cash / Self-Pay
$5,130

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,874

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: $5,130 (1439%)
Insurance Median: $4,874 (1367%)
Cash: $5,130 (1439% of Medicare)
Ins. Median: $4,874 (1367% 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 1367% of the Medicare baseline (a markup of 1267%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Amerigroup Mcaid-All Other Plans $698 196%
Iowa Total Care Mcaid-All Plans $698 196%
Amerigroup Mcr Adv $2,155 605%
Blue Cross Blue Shield $2,155 - $4,976 605%
Security Hlth Mcr Adv $2,155 605%
UnitedHealthcare $2,155 605%
Humana $2,176 - $4,925 610%
Quartz - All Plans $4,104 1151%
Dean Health Plan - All Plans $4,874 1367%
Medica Comm - All Other Plans $4,874 1367%
Medica Hp Solutions $4,874 1367%
Security Hlth Comm - All Other Plans $4,874 1367%
Health Trad Hp - All Plans $4,925 1382%
Wea Provider Ntwrk - All Plans $4,925 1382%
Cigna $4,976 1396%
First Health - All Plans $4,976 1396%
Geha - All Plans $4,976 1396%
Group Health Co-Op - All Plans $4,976 1396%
Health Partners - All Plans $4,976 1396%
Medical Associates Hp - All Plans $4,976 1396%
Preferred Health Choice - All Plans $4,976 1396%
Wps - All Plans $4,976 1396%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37868 Us Hwy 18, Prairie Du Chien, WI 53821
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals