CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Vibra Hospital of Boise

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,688
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.74x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Vibra Hospital of Boise is $1,688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.74x the Medicare baseline. Located in 6651 W Franklin Rd, Boise, ID.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,688

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%)
Insurance Median: $1,688 (474%)
Ins. Median: $1,688 (474% 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 474% of the Medicare baseline (a markup of 374%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Molina $1,489 - $1,887 418%
Moda $1,489 - $1,887 418%
UnitedHealthcare $1,489 - $1,887 418%
Tricare $1,489 - $1,887 418%
Blue Cross Blue Shield $1,489 - $1,887 418%
Independent Physician's Network $1,489 - $1,887 418%
Select Health Med Network $1,489 - $1,887 418%
Regence Blue Shield of Idaho $1,489 - $1,887 418%
Regence Blue Shield of Idaho Blue Medadvantage $1,489 - $1,887 418%
Providence $1,489 - $1,887 418%
First Choice of the Midwest $1,489 - $1,887 418%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6651 W Franklin Rd, Boise, ID 83709
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL