CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Osmond General Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,599
Cash Discount Price: $6,300
vs. Medicare Baseline: 12.90x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Osmond General Hospital is $4,599. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,300. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.90x the Medicare baseline. Located in 402 North Maple St, Osmond, NE.

Cash / Self-Pay

$6,300

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,599

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: $6,300 (1768%)

Insurance Median: $4,599 (1290%)

Cash: $6,300 (1768% of Medicare)

Ins. Median: $4,599 (1290% 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 1290% of the Medicare baseline (a markup of 1190%). 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
Medica-All Other Plans	$1,222	343%
Blue Cross Blue Shield	$2,668 - $4,599	749%
Total Care Mcaid-All Plans	$3,276	919%
UnitedHealthcare	$3,276 - $5,815	919%
Wellcare Mcaid-All Plans	$3,276	919%
Medica Mcr	$4,599	1290%
Tricare	$4,599	1290%
Triwest Va-All Plans	$4,599	1290%
Coventry First Health	$5,922	1661%
Coventry Ppo/Hmo/Pos/Aso - All Other Plans	$5,922	1661%
Midlands Choice-All Plans	$6,048	1697%

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 $6,300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Osmond General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.