CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Helen Newberry Joy Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $203
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Helen Newberry Joy Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.57x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $130 (36%)
Insurance Median: $203 (57%)
Cash: $130 (36% of Medicare)
Ins. Median: $203 (57% 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.

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
Mi Wc - All Plans $125 - $2,251 35%
Aetna $176 - $3,342 49%
Uphg Tpa - All Plans $176 - $3,166 49%
First Health - All Plans $186 - $3,342 52%
Ppom/Cofinity - All Plans $186 - $3,342 52%
Cigna $190 - $3,412 53%
Health Alliance - All Plans $190 - $3,412 53%
Healtheos - All Plans $190 - $3,412 53%
Priority Health - All Plans $190 - $3,412 53%
UnitedHealthcare $190 - $3,412 53%
Vital Core - All Plans $190 - $3,413 53%
Blue Cross Blue Shield $193 - $3,473 54%
Uphp Mcaid - All Plans $229 - $1,653 64%
Va - All Plans $253 - $1,442 71%
Humana $321 - $1,407 90%
Mi Health Link - All Plans $321 - $1,407 90%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Harrie St, Newberry, MI 49868
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals