CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Pioneer Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,431
  • Cash Discount Price: $3,731
  • vs. Medicare Baseline: 12.43x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Pioneer Medical Center is $4,431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,731. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.43x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.
Cash / Self-Pay
$3,731

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,431

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: $3,731 (1047%)
Insurance Median: $4,431 (1243%)
Cash: $3,731 (1047% of Medicare)
Ins. Median: $4,431 (1243% 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 1243% of the Medicare baseline (a markup of 1143%). 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.

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
Blue Cross Blue Shield $2,099 - $3,871 589%
Health Info Net Mcr Adv $2,099 589%
Healtnet Federal-All Plans $2,099 589%
Humana $2,099 - $4,291 589%
Triwest Va Pccc-All Plans $2,099 589%
UnitedHealthcare $2,099 - $4,431 589%
Rocky Mountain Health Network-All Plans $3,265 916%
Allegiance Provider-All Plans $3,964 1112%
Mountain Health Co-Op Hpn $4,104 1151%
6 Degrees Health-All Plans $4,431 1243%
Americas Choice-All Plans $4,431 1243%
City Of Billings-All Plans $4,431 1243%
Community Health Ntwk-All Plans $4,431 1243%
Ebms Select Care Network-All Plans $4,431 1243%
Fedmed Network-All Plans $4,431 1243%
First Choice Big Sky-All Plans $4,431 1243%
First Health-All Plans $4,431 1243%
Interwest Ppo $4,431 1243%
Mountain Health Co-Op-All Other Plans $4,431 1243%
Pacific Source-All Plans $4,431 1243%
Pacific Steel & Recycling-All Plans $4,431 1243%
Three Rivers-All Plans $4,431 1243%
Health Info Net Peak/Equity $4,524 1269%
Health Info Net Standard-All Other Plans $4,524 1269%
Mountain Health Co-Op Ppo/Pos $4,571 1282%
Interwest Health Traditional-All Other Plans $4,664 1309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W 7Th Ave, Big Timber, MT 59011
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals