CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercyone Centerville Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,282
  • Cash Discount Price: $5,637
  • vs. Medicare Baseline: 14.82x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercyone Centerville Medical Center is $5,282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,637. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.82x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$5,637

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,282

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: $5,637 (1582%)
Insurance Median: $5,282 (1482%)
Cash: $5,637 (1582% of Medicare)
Ins. Median: $5,282 (1482% 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 1482% of the Medicare baseline (a markup of 1382%). 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
Medicare (plans) $1,547 - $1,698 434%
Iowa Total Care $1,552 435%
Medicaid / KanCare $1,575 - $1,583 442%
Blue Cross Blue Shield $1,618 454%
Aetna $1,635 - $5,282 459%
UnitedHealthcare $1,733 - $5,637 486%
Amish Hospital Aid $2,174 610%
Ambetter / Centene $2,746 770%
Claimdoc $3,286 922%
Nova $3,286 922%
Geha $4,059 1139%
Health Choices $4,307 1208%
Medical Associates $4,307 1208%
1199 National Benefit Fund $5,282 1482%
Allied Benefit Systems $5,282 1482%
Asr Health Benefits $5,282 1482%
Christian Brother Services $5,282 1482%
Coventry $5,282 1482%
First Health $5,282 1482%
Lucent Health $5,282 1482%
Luminare Health $5,282 1482%
Medical Mutual $5,282 1482%
Meritain $5,282 1482%
Trustmark Small Business Benefits $5,282 1482%
Webtpa $5,282 1482%
Health Partners $5,423 1521%
Auxiant $5,524 1550%
Cigna $5,524 1550%
Medica $5,524 1550%
Midlands $5,524 1550%
Midlands Choice $5,524 1550%
Crime Victim Assistance $5,637 1582%
Iowa Dept Of Public Health $5,637 1582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals