CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Butler County Health

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $4,551
  • Cash Discount Price: $4,866
  • vs. Medicare Baseline: 18.67x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Butler County Health is $4,551. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,866. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.67x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.
Cash / Self-Pay
$4,866

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,551

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: $4,866 (1996%)
Insurance Median: $4,551 (1867%)
Cash: $4,866 (1996% of Medicare)
Ins. Median: $4,551 (1867% 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 1867% of the Medicare baseline (a markup of 1767%). 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
UnitedHealthcare $1,728 - $4,986 709%
Medica $1,898 - $4,986 779%
Humana $2,833 - $3,104 1162%
Ambetter / Centene $4,412 - $4,834 1810%
Blue Cross Blue Shield $4,412 - $5,680 1810%
Multiplan $4,412 - $4,834 1810%
Nebraska Total Care $4,412 - $4,834 1810%
Aetna $4,500 - $4,930 1846%
Cigna $4,551 - $4,986 1867%
Corvel $4,551 - $4,986 1867%
Midlands Choice $4,551 - $4,986 1867%
Three Rivers $4,551 - $4,986 1867%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 South 9Th Street, David City, NE 68632
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals