CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Methodist Fremont Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $6,018
  • Cash Discount Price: $2,683
  • vs. Medicare Baseline: 16.88x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Methodist Fremont Health is $6,018. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,683. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.88x the Medicare baseline. Located in 450 East 23Rd St, Fremont, NE.
Cash / Self-Pay
$2,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,018

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: $2,683 (753%)
Insurance Median: $6,018 (1688%)
Cash: $2,683 (753% of Medicare)
Ins. Median: $6,018 (1688% 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 1688% of the Medicare baseline (a markup of 1588%). 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
Aetna $382 - $6,961 107%
Blue Cross Blue Shield $382 - $6,163 107%
Humana $382 107%
Medica $382 107%
Medicare (plans) $382 - $389 107%
UnitedHealthcare $382 - $6,533 107%
Ambetter / Centene $790 222%
Elite Choice $792 222%
Alliance Nhn $986 277%
Elevate By Medica $3,263 915%
Ne Furniture Mart $6,018 1688%
Medica Choice $6,381 1790%
Multiplan $6,526 1831%
Midlands Choice $6,816 1912%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 East 23Rd St, Fremont, NE 68025
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals