CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Banner Churchill Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,126
  • Cash Discount Price: $1,702
  • vs. Medicare Baseline: 12.82x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Banner Churchill Community Hospital is $3,126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,702. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.82x the Medicare baseline. Located in 801 East Williams Avenue, Fallon, NV.
Cash / Self-Pay
$1,702

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,126

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: $1,702 (698%)
Insurance Median: $3,126 (1282%)
Cash: $1,702 (698% of Medicare)
Ins. Median: $3,126 (1282% 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 1282% of the Medicare baseline (a markup of 1182%). 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
Aetna $903 - $3,265 370%
Banner Health $1,111 456%
Hometown Health $1,111 - $3,299 456%
Silversummit Healthplan $1,111 - $3,126 456%
Triwest Healthcare Alliance Corp - Va Ccn $1,111 - $1,424 456%
UnitedHealthcare $1,111 - $3,126 456%
Humana $1,178 483%
Nevada Preferred Healthcare Providers $3,126 1282%
Blue Cross Blue Shield $3,195 1311%
Multiplan $3,265 1339%
Cigna $3,279 1345%
Coventry $3,334 1368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 East Williams Avenue, Fallon, NV 89406
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals