CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Rock County Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $4,038
Cash Discount Price: $4,147
vs. Medicare Baseline: 16.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Rock County Hospital is $4,038. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,147. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.56x the Medicare baseline. Located in 102 East South Street, Bassett, NE.

Cash / Self-Pay

$4,147

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,038

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: $4,147 (1701%)

Insurance Median: $4,038 (1656%)

Cash: $4,147 (1701% of Medicare)

Ins. Median: $4,038 (1656% 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 1656% of the Medicare baseline (a markup of 1556%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Midlands Choice	$449	184%
Oscar	$449	184%
Blue Cross Blue Shield	$1,567 - $4,190	643%
Molina	$2,750	1128%
UnitedHealthcare	$3,872	1588%
Nebraska Total Care	$3,929	1612%
Integrated Health Plan	$4,147	1701%
Interplan Health Group	$4,147	1701%
Coventry Health Care	$4,190	1719%
First Health	$4,190	1719%
Medica	$4,190	1719%
Mutually Preferred	$4,190	1719%
Multiplan	$4,234	1737%
Ppo Next	$4,234	1737%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,147.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rock County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.