CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Harlan County Health System

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,397
  • Cash Discount Price: $2,986
  • vs. Medicare Baseline: 13.94x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Harlan County Health System is $3,397. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,986. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.94x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$2,986

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,397

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,986 (1225%)
Insurance Median: $3,397 (1394%)
Cash: $2,986 (1225% of Medicare)
Ins. Median: $3,397 (1394% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1394% of the Medicare baseline (a markup of 1294%). 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
Medica Mcr Adv $2,016 827%
Medica Prime Solution $2,016 827%
Blue Cross Blue Shield $2,174 892%
Humana $2,501 1026%
Tricare $2,501 1026%
Aetna $2,613 1072%
Great Plains Mcr Adv-All Plans $2,626 1077%
Medica Chi Aco - All Other Plans $3,397 1394%
Medica Chi Health $3,397 1394%
Medica Choice $3,397 1394%
Ohara Llc Wc- All Plans $3,546 1455%
Medica Ifb Aco $3,584 1470%
Medica Ifb Open Access $3,584 1470%
UnitedHealthcare $3,584 1470%
Phcs/Multiplan-All Plans $3,658 1501%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals