CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: CHI Health Immanuel

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$769
about 2.2× the $356 Medicare rate · typically $522–$1,051
modeled estimate · not a bill or quote
What this hospital charges insurers
$733
About the fair price
about $36 under the fair price · 2.1× Medicare
Medicare pays $356 Fair price $769 This hospital $733 Cash price $2,051 Hospital's list price $4,884

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 $210 Priciest $733

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $769 (about 2.2× the $356 Medicare rate). CHI Health Immanuel charges insurers about $733, or about $2,051 in cash — about the fair price. Located in Omaha, NE.

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 $348 - $720 98%
Blue Cross Blue Shieldmajor $348 98%
Humanamajor $348 98%
Ambetter (Centene) $294 - $733 82%
Amerigroup $294 - $365 82%
Medica $348 - $2,540 98%
Molina $300 84%
+ 11 smaller / regional plans $348 - $2,930
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6901 North 72Nd St, Omaha, NE 68122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals