CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Valley County Health System

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $339
Cash Discount Price: $4,903
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Valley County Health System is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,903. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.95x the Medicare baseline. Located in 2707 L Street, Ord, NE.

Cash / Self-Pay

$4,903

Average discount available for prompt cash payment at this facility.

Insurance Median

$339

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: $4,903 (1376%)

Insurance Median: $339 (95%)

Cash: $4,903 (1376% of Medicare)

Ins. Median: $339 (95% 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.

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
Blue Cross Blue Shield	$80 - $5,230	22%
Medica	$80 - $5,230	22%
UnitedHealthcare	$80 - $2,615	22%
Humana	$82 - $1,111	23%
Nebraska Total Care	$82 - $2,996	23%
Wellcare	$82 - $2,974	23%
Aetna	$84 - $5,230	24%
Great Plains	$84 - $1,090	24%
Molina	$143 - $2,860	40%
Multiplan/Phcs	$258 - $5,339	72%

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 $4,903.
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 Valley County Health System 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.