CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Butler County Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,292
  • Cash Discount Price: $5,621
  • vs. Medicare Baseline: 14.85x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Butler County Health is $5,292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,621. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.85x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.
Cash / Self-Pay
$5,621

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,292

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: $5,621 (1577%)
Insurance Median: $5,292 (1485%)
Cash: $5,621 (1577% of Medicare)
Ins. Median: $5,292 (1485% 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 1485% of the Medicare baseline (a markup of 1385%). 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 $2,009 - $5,724 564%
Medica $2,207 - $5,724 619%
Humana $3,294 - $3,563 924%
Ambetter / Centene $5,130 - $5,549 1439%
Blue Cross Blue Shield $5,130 - $6,520 1439%
Multiplan $5,130 - $5,549 1439%
Nebraska Total Care $5,130 - $5,549 1439%
Aetna $5,233 - $5,660 1468%
Cigna $5,292 - $5,724 1485%
Corvel $5,292 - $5,724 1485%
Midlands Choice $5,292 - $5,724 1485%
Three Rivers $5,292 - $5,724 1485%

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