CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Howard County Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $993
  • Cash Discount Price: $3,999
  • vs. Medicare Baseline: 2.79x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Howard County Medical Center is $993. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,999. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.79x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$3,999

Average discount available for prompt cash payment at this facility.

Insurance Median
$993

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: $3,999 (1122%)
Insurance Median: $993 (279%)
Cash: $3,999 (1122% of Medicare)
Ins. Median: $993 (279% 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 279% of the Medicare baseline (a markup of 179%). 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
Medica Standard Premier $80 - $283 22%
Aetna $83 - $3,799 23%
Medica Elevate $156 - $555 44%
Midland'S Choice $164 - $583 46%
Humana $234 66%
Blue Cross Blue Shield $275 - $3,799 77%
Great Plains $275 - $2,279 77%
Medica Chi $275 - $2,279 77%
Tricare $275 - $2,999 77%
UnitedHealthcare $275 - $3,839 77%
Nebraska Total Care - Wellcare $283 79%
Molina Healthcare $289 - $2,000 81%
Oscar Health $481 135%
Ambetter / Centene $550 154%
Beshp $550 154%
Nebraska Total Care $2,000 561%
Medica Chi Aco $3,639 1021%
Medica Choice National $3,639 1021%
Medica Ifb Aco $3,839 1077%
Medica Ifb Open Access $3,839 1077%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals