CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Great Plains Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $354
Cash Discount Price: $1,772
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Great Plains Health is $354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,772. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.99x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$1,772

Average discount available for prompt cash payment at this facility.

Insurance Median

$354

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: $1,772 (497%)

Insurance Median: $354 (99%)

Cash: $1,772 (497% of Medicare)

Ins. Median: $354 (99% 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.

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
Nebraska Total Care	$86 - $403	24%
Molina	$94 - $440	26%
Midwest Network Alliance	$164 - $4,868	46%
Blue Cross Blue Shield	$172 - $4,943	48%
Ambetter / Centene	$184 - $1,832	52%
Medica	$215 - $5,138	60%
UnitedHealthcare	$222 - $5,306	62%
Midlands Choice	$292 - $5,194	82%
Oscar Health	$299 - $5,194	84%
Coventry	$302 - $5,306	85%
Geha	$302 - $5,250	85%
Mutual Of Omaha	$305 - $5,306	86%

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 $1,772.
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 Great Plains Health 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.