CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercyone Clinton Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $371
  • Cash Discount Price: $3,538
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercyone Clinton Medical Center is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,538. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.04x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$3,538

Average discount available for prompt cash payment at this facility.

Insurance Median
$371

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: $3,538 (993%)
Insurance Median: $371 (104%)
Cash: $3,538 (993% of Medicare)
Ins. Median: $371 (104% 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
Iowa Total Care $321 90%
Medicaid / KanCare $324 - $326 91%
Bcn Domestic $356 100%
Blue Benefit Administrators Of Massachusetts $356 100%
Blue Care Network $356 100%
Blue Cross Blue Shield $356 - $368 100%
Blue Distinction Transplant $356 100%
Blue Shield - Ca $356 100%
Blue Shield - Id (Regence) $356 100%
Blue Shield - Ny Highmark Northeastern $356 100%
Blue Shield - Ny Highmark Western $356 100%
Blue Shield - Pa (Highmark) $356 100%
Blue Shield - Wa (Regence) $356 100%
Kaiser Domestic $356 100%
Pre-Employment $356 100%
Wc Domestic $356 100%
Aetna $364 - $4,512 102%
Medicare (plans) $364 - $379 102%
UnitedHealthcare $371 - $5,157 104%
Amish Hospital Aid $494 139%
Oscar $507 142%
Ambetter / Centene $624 175%
Claimdoc $747 210%
Nova $747 210%
Geha $829 233%
Health Choices $1,459 409%
Medical Associates $1,459 409%
Preferred Health Choice $1,490 418%
The Alliance $3,128 878%
1199 National Benefit Fund $4,512 1266%
Allied Benefit Systems $4,512 1266%
Asr Health Benefits $4,512 1266%
Christian Brother Services $4,512 1266%
Coventry $4,512 1266%
First Health $4,512 1266%
Lucent Health $4,512 1266%
Luminare Health $4,512 1266%
Medical Mutual $4,512 1266%
Meritain $4,512 1266%
Trustmark Small Business Benefits $4,512 1266%
Webtpa $4,512 1266%
Health Partners $4,523 1269%
Auxiant $4,641 1302%
Cigna $4,641 1302%
Medica $4,641 1302%
Midlands $4,641 1302%
Midlands Choice $4,641 1302%
Multiplan $4,641 1302%
Qualcare $4,641 1302%
Usa Managed Care $4,899 1374%
Crime Victim Assistance $5,157 1447%
Iowa Dept Of Public Health $5,157 1447%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals