CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Johnson County Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,425
  • Cash Discount Price: $4,281
  • vs. Medicare Baseline: 14.05x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Johnson County Hospital is $3,425. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,281. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.05x the Medicare baseline. Located in 202 High St, Tecumseh, NE.
Cash / Self-Pay
$4,281

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,425

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: $4,281 (1756%)
Insurance Median: $3,425 (1405%)
Cash: $4,281 (1756% of Medicare)
Ins. Median: $3,425 (1405% 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 1405% of the Medicare baseline (a markup of 1305%). 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
Coventry $2,868 1177%
Molina Healthcare Of Nebraska $2,868 1177%
Va Ccn $2,868 1177%
Wellcare $2,868 1177%
Midland'S Choice $3,425 1405%
Ambetter / Centene $3,853 1581%
Blue Cross Blue Shield $4,067 1668%
UnitedHealthcare $4,153 1704%
Aetna $4,281 1756%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 202 High St, Tecumseh, NE 68450
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals