CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Hermann Area District Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,259
Cash Discount Price: $2,547
vs. Medicare Baseline: 6.34x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Hermann Area District Hospital is $2,259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,547. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.34x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.

Cash / Self-Pay

$2,547

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,259

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: $2,547 (715%)

Insurance Median: $2,259 (634%)

Cash: $2,547 (715% of Medicare)

Ins. Median: $2,259 (634% 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 634% of the Medicare baseline (a markup of 534%). 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
Healthlink Hmo	$515	144%
Care Partners Mcaid- All Plans	$562	158%
UnitedHealthcare	$585 - $2,156	164%
Healthlink Ppo - All Other Plans	$618	173%
Tricare	$1,329 - $2,033	373%
Choicecare Mcr Adv- All Plans	$1,409 - $2,156	395%
American Hlth Mcr Adv- All Plans	$1,476 - $2,259	414%
Blue Cross Blue Shield	$1,476 - $4,179	414%
Humana	$1,476 - $2,259	414%
Aetna	$1,506 - $4,878	423%
Wellcare Mcr Adv - All Plans	$1,506 - $2,304	423%
Cigna	$1,829 - $2,798	513%
Harmony Hp Mcaid- All Plans	$1,946 - $2,978	546%
Healthcare Usa Mcaid- All Plans	$2,181 - $3,337	612%
Ambetter / Centene	$2,362 - $3,615	663%
Multiplan/Phcs - All Plans	$2,517 - $3,851	706%
Coventry - All Plans	$2,852 - $4,364	800%
Comp Results - All Plans	$3,020 - $4,621	847%
Three Rivers - All Plans	$3,020 - $4,621	847%

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 $2,547.
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 Hermann Area District 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.