CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cherokee Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,518
Cash Discount Price: $3,166
vs. Medicare Baseline: 14.43x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cherokee Regional Medical Center is $3,518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,166. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.43x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.

Cash / Self-Pay

$3,166

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,518

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: $3,166 (1299%)

Insurance Median: $3,518 (1443%)

Cash: $3,166 (1299% of Medicare)

Ins. Median: $3,518 (1443% 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 1443% of the Medicare baseline (a markup of 1343%). 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
Health Partners	$1,865 - $3,518	765%
Wellpoint	$1,865 - $3,518	765%
Iowa Total Care	$1,935 - $3,518	794%
Molina	$1,935 - $3,518	794%
Admin Concepts	$3,518	1443%
Aetna	$3,518	1443%
American Republic	$3,518	1443%
Apw	$3,518	1443%
Auxiant	$3,518	1443%
Avera	$3,518	1443%
Bankers Life	$3,518	1443%
Blue Cross Blue Shield	$3,518	1443%
Champus	$3,518	1443%
Cigna	$3,518	1443%
Humana	$3,518	1443%
Liability	$3,518	1443%
Meridian	$3,518	1443%
Meritain	$3,518	1443%
Midlands	$3,518	1443%
Mutual Of Omaha	$3,518	1443%
Occunet	$3,518	1443%
Physicians Mutual	$3,518	1443%
Private Healthcare	$3,518	1443%
Sanford	$3,518	1443%
United American	$3,518	1443%
UnitedHealthcare	$3,518	1443%

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 $3,166.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cherokee Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.