CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Boone County Health Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,776
  • Cash Discount Price: $3,913
  • vs. Medicare Baseline: 15.49x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Boone County Health Center is $3,776. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,913. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.49x the Medicare baseline. Located in P O Box 151, 723 West Fairview St, Albion, NE.
Cash / Self-Pay
$3,913

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,776

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: $3,913 (1605%)
Insurance Median: $3,776 (1549%)
Cash: $3,913 (1605% of Medicare)
Ins. Median: $3,776 (1549% 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 1549% of the Medicare baseline (a markup of 1449%). 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
Blue Cross Blue Shield $2,270 - $3,717 931%
Good Samaritan Insurance Plan Of Nebraska $2,270 931%
Medica $3,756 1541%
Aetna $3,796 1557%
Ambetter / Centene $3,796 1557%
Midlands Choice $3,835 1573%
Bryan Health Connect $4,539 1862%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 151, 723 West Fairview St, Albion, NE 68620
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals