CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Black River Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$196

about 0.8× the $244 Medicare rate · typically $75–$1,251

modeled estimate · not a bill or quote

What this hospital charges insurers

$77

Below the fair price — a good deal

about $119 under the fair price · 0.3× Medicare

Medicare pays $244 Fair price $196 This hospital $77 Cash price $2,719 Hospital's list price $3,021

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $77 Priciest $233

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 $196 (about 0.8× the $244 Medicare rate). Black River Memorial Hospital charges insurers about $77, or about $2,719 in cash — below the fair price — a good deal. Located in Black River Falls, 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	$34 - $2,935	14%
Blue Cross Blue Shieldmajor	$34 - $1,587	14%
Aetnamajor	$1,706 - $3,019	700%
Cignamajor	$1,706 - $3,019	700%
Humanamajor	$77 - $2,894	32%
HealthPartners	$1,706 - $3,019	700%
Medica	$1,643 - $2,907	674%
Quartz	$34 - $2,832	14%
Security Health Plan	$34 - $2,907	14%
+ 10 smaller / regional plans	$34 - $3,050

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,719), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Black River Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Black River Memorial Hospital

Compare: CT scan, abdomen and pelvis (no contrast) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.