CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Methodist Jennie Edmundson

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,722
Cash Discount Price: $1,658
vs. Medicare Baseline: 4.83x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Methodist Jennie Edmundson is $1,722. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,658. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.83x the Medicare baseline. Located in 933 East Pierce Street, Council Bluffs, IA.

Cash / Self-Pay

$1,658

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,722

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: $1,658 (465%)

Insurance Median: $1,722 (483%)

Cash: $1,658 (465% of Medicare)

Ins. Median: $1,722 (483% 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 483% of the Medicare baseline (a markup of 383%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicare (plans)	$278 - $2,792	78%
Aetna	$351 - $3,350	98%
Humana	$351	98%
Blue Cross Blue Shield	$356 - $3,630	100%
Medica	$356 - $2,513	100%
UnitedHealthcare	$356 - $3,350	100%
Elite Choice - Mje	$531 - $728	149%
Ambetter / Centene	$579 - $739	162%
Wellmark	$692 - $761	194%
Midlands Choice	$725 - $3,909	203%
Medica Choice	$1,119 - $2,792	314%
Ne Furniture Mart	$2,516 - $3,350	706%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,658.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Jennie Edmundson is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.