CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $198
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Southeast Iowa Regional Medical Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.81x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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%)
Insurance Median: $198 (81%)
Ins. Median: $198 (81% 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.

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
American Healthplan Of Iowa - Midlevel $64 26%
Medicaid / KanCare $66 - $68 27%
Humana $80 33%
Aetna $83 34%
American Healthplan Of Iowa - Md $84 34%
Plain Church $143 - $2,246 59%
Blue Cross Blue Shield $157 - $967 64%
UnitedHealthcare $160 66%
Midlands Choice $174 - $3,110 71%
Absolute Solutions $198 81%
First Agency $198 81%
Multiplan $198 81%
Henderson County $209 86%
Wellpoint (Amerigroup) $1,935 794%
Immugrun $2,177 893%
Brighton Amish Church $2,246 921%
6 Degree $2,765 1134%
Geha $3,214 1318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals