CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Brodstone Healthcare

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,840
  • Cash Discount Price: $4,860
  • vs. Medicare Baseline: 13.58x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Brodstone Healthcare is $4,840. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,860. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.58x the Medicare baseline. Located in P O Box 187, 520 East 10Th St, Superior, NE.
Cash / Self-Pay
$4,860

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,840

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: $4,860 (1364%)
Insurance Median: $4,840 (1358%)
Cash: $4,860 (1364% of Medicare)
Ins. Median: $4,840 (1358% 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 1358% of the Medicare baseline (a markup of 1258%). 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 $2,645 - $4,768 742%
Ambetter / Centene $4,741 - $4,978 1330%
Blue Cross Blue Shield $4,741 - $4,978 1330%
Midlands Choice $4,840 - $5,083 1358%
UnitedHealthcare $4,840 - $5,083 1358%
Coventry Health Care $4,890 - $5,135 1372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 187, 520 East 10Th St, Superior, NE 68978
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals