CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Humboldt County Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,102
  • Cash Discount Price: $2,430
  • vs. Medicare Baseline: 8.62x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Humboldt County Memorial Hospital is $2,102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,430. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.62x the Medicare baseline. Located in 1000 North 15Th Street, Humboldt, IA.
Cash / Self-Pay
$2,430

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,102

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%)
Cash / Self-Pay: $2,430 (997%)
Insurance Median: $2,102 (862%)
Cash: $2,430 (997% of Medicare)
Ins. Median: $2,102 (862% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 862% of the Medicare baseline (a markup of 762%). 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
Great West $1,890 775%
Aetna $1,917 - $2,025 786%
Health Partners $1,917 - $2,160 786%
Physicians Mutual $1,944 797%
Cigna $2,025 831%
Phcs $2,025 831%
Blue Cross Blue Shield $2,102 - $2,349 862%
Humana $2,102 - $2,295 862%
Iowa Health $2,102 862%
Molina $2,102 - $2,700 862%
Deanhealth $2,160 886%
UnitedHealthcare $2,592 1063%
Wellpoint $2,592 - $2,700 1063%
Iowa Total Care $2,700 1108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 North 15Th Street, Humboldt, IA 50548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals