CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cherokee Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,214
  • Cash Discount Price: $4,008
  • vs. Medicare Baseline: 11.82x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cherokee Regional Medical Center is $4,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,008. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.82x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$4,008

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,214

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: $4,008 (1124%)
Insurance Median: $4,214 (1182%)
Cash: $4,008 (1124% of Medicare)
Ins. Median: $4,214 (1182% 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 1182% of the Medicare baseline (a markup of 1082%). 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
Health Partners $2,360 - $4,214 662%
Wellpoint $2,360 - $4,453 662%
Molina $2,449 - $4,453 687%
Admin Concepts $4,214 1182%
Aetna $4,214 1182%
American Republic $4,214 1182%
Apw $4,214 1182%
Auxiant $4,214 1182%
Avera $4,214 1182%
Bankers Life $4,214 1182%
Blue Cross Blue Shield $4,214 1182%
Champus $4,214 1182%
Cigna $4,214 1182%
Humana $4,214 1182%
Iowa Total Care $4,214 - $4,453 1182%
Liability $4,214 1182%
Meridian $4,214 1182%
Meritain $4,214 1182%
Midlands $4,214 1182%
Mutual Of Omaha $4,214 1182%
Occunet $4,214 1182%
Physicians Mutual $4,214 1182%
Private Healthcare $4,214 1182%
Sanford $4,214 1182%
United American $4,214 1182%
UnitedHealthcare $4,214 1182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals