CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Clarinda Regional Health Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,268
Cash Discount Price: $2,548
vs. Medicare Baseline: 6.36x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Clarinda Regional Health Center is $2,268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,548. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.36x the Medicare baseline. Located in 220 Essie Davison Drive, Clarinda, IA.

Cash / Self-Pay

$2,548

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,268

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: $2,548 (715%)

Insurance Median: $2,268 (636%)

Cash: $2,548 (715% of Medicare)

Ins. Median: $2,268 (636% 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 636% of the Medicare baseline (a markup of 536%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$2,073 - $2,245	582%
Molina Mcr Adv-All Plans	$2,073	582%
UnitedHealthcare	$2,073 - $4,102	582%
Blue Cross Blue Shield	$2,114 - $3,454	593%
Ia Total Care Mcaid-All Plans	$2,268	636%
Amerigroup Ia Mcaid-All Plans	$2,290	642%
Geha-All Plans	$4,016	1127%
Coventry Health-All Other Plans	$4,059	1139%
Midlands Choice-All Plans	$4,102	1151%
Multiplan-All Plans	$4,102	1151%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,548.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clarinda Regional Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.