CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Perry County Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,810
Cash Discount Price: $2,155
vs. Medicare Baseline: 5.08x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Perry County Memorial Hospital is $1,810. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,155. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.08x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$2,155

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,810

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: $2,155 (605%)

Insurance Median: $1,810 (508%)

Cash: $2,155 (605% of Medicare)

Ins. Median: $1,810 (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
Medicaid / KanCare	$632 - $3,079	177%
Veterans Administration	$770 - $3,079	216%
Bc 130	$801 - $2,460	225%
Group Insurance	$801 - $3,079	225%
Medicare (plans)	$801	225%
Workers Compensation	$1,540	432%
Nsa	$1,810 - $1,901	508%
Guarantor Liable	$2,155 - $3,079	605%
Pcmh Insurnace	$2,402 - $3,079	674%
Secondary Insurance	$2,460	690%
UnitedHealthcare	$2,460	690%
Operating Engineers	$2,617	734%
Boilermakers Healthcare	$2,679	752%
Cigna	$2,679	752%
Great West	$2,679 - $3,079	752%
Sagxxxx	$2,679	752%
Champus	$3,079	864%
Ngs American, Inc	$3,079	864%
Patoka Valley	$3,079	864%
Southwire	$3,079	864%
Tricare	$3,079	864%
Wausau Benefits	$3,079	864%

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 $2,155.
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 Perry County Memorial Hospital 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.