CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Copper Queen Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,270
  • Cash Discount Price: $3,628
  • vs. Medicare Baseline: 5.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Copper Queen Community Hospital is $1,270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,628. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.21x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$3,628

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,270

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: $3,628 (1488%)
Insurance Median: $1,270 (521%)
Cash: $3,628 (1488% of Medicare)
Ins. Median: $1,270 (521% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 521% of the Medicare baseline (a markup of 421%). 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
Allwell $726 298%
Amerigroup $726 298%
Azch Complete $726 298%
Banner Uc Health $726 298%
Humana $726 298%
Triwest $726 298%
UnitedHealthcare $816 - $2,644 335%
Copperpoint $1,122 460%
Bisbee Police $1,179 484%
Aetna $1,270 - $4,082 521%
Health Net Of Az $1,270 - $2,721 521%
Apipa $1,694 695%
Cigna $2,948 1209%
Blue Cross Blue Shield $3,084 1265%
Self Pay $3,628 1488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals