CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Boone County Health Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,455
  • Cash Discount Price: $4,616
  • vs. Medicare Baseline: 12.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Boone County Health Center is $4,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,616. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.50x the Medicare baseline. Located in P O Box 151, 723 West Fairview St, Albion, NE.
Cash / Self-Pay
$4,616

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,455

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: $4,616 (1295%)
Insurance Median: $4,455 (1250%)
Cash: $4,616 (1295% of Medicare)
Ins. Median: $4,455 (1250% 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 1250% of the Medicare baseline (a markup of 1150%). 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 $2,677 - $4,385 751%
Good Samaritan Insurance Plan Of Nebraska $2,677 751%
Medica $4,431 1243%
Aetna $4,478 1256%
Ambetter / Centene $4,478 1256%
Midlands Choice $4,524 1269%
Bryan Health Connect $5,355 1502%

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