CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Copper Queen Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,284
  • Cash Discount Price: $3,668
  • vs. Medicare Baseline: 3.60x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Copper Queen Community Hospital is $1,284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,668. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.60x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$3,668

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,284

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: $3,668 (1029%)
Insurance Median: $1,284 (360%)
Cash: $3,668 (1029% of Medicare)
Ins. Median: $1,284 (360% 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 360% of the Medicare baseline (a markup of 260%). 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 $734 206%
Amerigroup $734 206%
Azch Complete $734 206%
Banner Uc Health $734 206%
Humana $734 206%
Triwest $734 206%
UnitedHealthcare $825 - $2,673 231%
Copperpoint $1,135 318%
Bisbee Police $1,192 334%
Aetna $1,284 - $4,126 360%
Health Net Of Az $1,284 - $2,751 360%
Apipa $1,712 480%
Cigna $2,980 836%
Blue Cross Blue Shield $3,118 875%
Self Pay $3,668 1029%

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