CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $207
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Southeast Iowa Regional Medical Center is $207. 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 $356.43, this hospital’s rate is 0.58x 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
$207

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%)
Insurance Median: $207 (58%)
Ins. Median: $207 (58% 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.

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 $66 19%
Medicaid / KanCare $70 - $71 20%
Humana $84 24%
Aetna $87 24%
American Healthplan Of Iowa - Md $88 25%
Plain Church $150 - $2,632 42%
Blue Cross Blue Shield $166 - $967 47%
UnitedHealthcare $167 47%
Midlands Choice $184 - $3,645 52%
Absolute Solutions $207 58%
First Agency $207 58%
Multiplan $207 58%
Henderson County $218 61%
Wellpoint (Amerigroup) $2,268 636%
Immugrun $2,552 716%
Brighton Amish Church $2,632 738%
6 Degree $3,240 909%
Geha $3,766 1057%

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