CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Greene County Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,284
  • Cash Discount Price: $2,473
  • vs. Medicare Baseline: 12.02x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Greene County Medical Center is $4,284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,473. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.02x the Medicare baseline. Located in 1000 West Lincoln Way, Jefferson, IA.
Cash / Self-Pay
$2,473

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,284

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: $2,473 (694%)
Insurance Median: $4,284 (1202%)
Cash: $2,473 (694% of Medicare)
Ins. Median: $4,284 (1202% 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 1202% of the Medicare baseline (a markup of 1102%). 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
Ambetter / Centene $2,296 - $4,416 644%
Health Alliance $2,296 - $4,416 644%
Healthpartners $2,296 - $4,416 644%
Molina $2,296 - $4,416 644%
Wellcare $2,296 - $4,416 644%
Wellmark $2,738 - $4,416 768%
Humana $4,195 - $4,416 1177%
Midlands Choice $4,284 1202%
Aetna $4,416 1239%
Iowa Total Care $4,416 1239%
UnitedHealthcare $4,416 1239%
Wellpoint $4,416 1239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 West Lincoln Way, Jefferson, IA 50129
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals