CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Story County Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,556
about 4.4× the $356 Medicare rate · typically $339–$3,677
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $1,556 Cash price $3,784 Hospital's list price $4,730

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3,595 - $3,614 1009%
Blue Cross Blue Shieldmajor $3,614 - $4,730 1014%
Aetnamajor $3,614 - $4,588 1014%
Humanamajor $3,614 1014%
HealthPartners $2,885 - $3,614 809%
Molina $4,730 1327%
+ 1 smaller / regional plan $4,730

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 640 South 19Th Street, Nevada, IA 50201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals