CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Washington County Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$553
about 1.6× the $356 Medicare rate · typically $291–$1,486
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $553 Cash price $1,491 Hospital's list price $1,988

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,093 - $1,987 307%
Blue Cross Blue Shieldmajor $1,491 - $1,789 418%
Cignamajor $1,630 457%
Humanamajor $1,789 502%
Ambetter (Centene) $814 228%
+ 1 smaller / regional plan $1,491
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Health Way, Potosi, MO 63664
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals