CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: CHI Health Good Samaritan

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$688

about 2.8× the $244 Medicare rate · typically $288–$1,351

modeled estimate · not a bill or quote

What this hospital charges insurers

$864

Above the fair price

about $176 over the fair price · 3.5× Medicare

Medicare pays $244 Fair price $688 This hospital $864 Cash price $2,760 Hospital's list price $4,524

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $114 Priciest $864

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $688 (about 2.8× the $244 Medicare rate). CHI Health Good Samaritan charges insurers about $864, or about $2,760 in cash — above the fair price. Located in Kearney, NE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $688. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$229 - $3,438	94%
Blue Cross Blue Shieldmajor	$229	94%
Humanamajor	$229	94%
Ambetter (Centene)	$197 - $960	81%
Amerigroup	$197 - $240	81%
Medica	$200 - $3,529	82%
Molina	$201	82%
+ 9 smaller / regional plans	$229 - $2,624

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,760), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Good Samaritan is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Good Samaritan

Compare: CT scan, abdomen and pelvis (no contrast) at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.