CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Myrtue Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,812
Cash Discount Price: $2,214
vs. Medicare Baseline: 5.08x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Myrtue Medical Center is $1,812. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,214. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.08x the Medicare baseline. Located in 1213 Garfield Avenue, Harlan, IA.

Cash / Self-Pay

$2,214

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,812

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: $2,214 (621%)

Insurance Median: $1,812 (508%)

Cash: $2,214 (621% of Medicare)

Ins. Median: $1,812 (508% 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 508% of the Medicare baseline (a markup of 408%). 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
Wellmark Hmo	$1,042	292%
Wellmark Ppo - All Other Plans	$1,146	322%
Coventry Mcr - All Plans	$1,756	493%
UnitedHealthcare	$1,756 - $3,627	493%
Iowa Total Care Mcaid - All Plans	$1,812	508%
Amerigroup Mcaid - All Plans	$1,848	518%
Midlands Choice-All Plans	$3,360	943%
Aetna	$3,627	1018%

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 $2,214.
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 Myrtue Medical 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.