CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Bear River Valley Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,071
  • Cash Discount Price: $3,214
  • vs. Medicare Baseline: 11.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Bear River Valley Hospital is $4,071. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,214. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.42x the Medicare baseline. Located in 905 North 1000 West, Tremonton, UT.
Cash / Self-Pay
$3,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,071

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: $3,214 (902%)
Insurance Median: $4,071 (1142%)
Cash: $3,214 (902% of Medicare)
Ins. Median: $4,071 (1142% 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 1142% of the Medicare baseline (a markup of 1042%). 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 $85 - $4,114 24%
American Health $85 - $367 24%
Blue Cross Blue Shield $85 - $4,071 24%
Health Partners Of Nevada $85 - $353 24%
Health Plan Of Nevada $85 - $3,814 24%
Healthy U $85 - $3,814 24%
Humana $85 - $371 24%
Molina $85 - $4,071 24%
Selecthealth $85 - $4,071 24%
UnitedHealthcare $85 - $4,071 24%
Triwest $342 96%
Awh Connected $1,206 - $4,114 338%
Byu Athletics $1,206 - $4,071 338%
Campbell Scientific $1,206 - $4,071 338%
Cigna $1,206 - $4,071 338%
Deseret Mutual $1,206 - $4,071 338%
Emi $1,206 - $4,071 338%
Emi Health $1,206 - $4,071 338%
Franklin County $1,206 - $4,071 338%
Health Utah $1,206 - $4,071 338%
Ifit $1,206 - $4,071 338%
Juniper Systems $1,206 - $4,071 338%
Lw Miller $1,206 - $4,071 338%
Managed Care Admin $1,206 - $4,071 338%
Motivhealth $1,206 - $4,071 338%
Pehp $1,206 - $4,071 338%
Prodegi Corp Benefit $1,206 - $4,071 338%
Tanner Llc $1,206 - $4,071 338%
Utah Tech $1,206 - $4,071 338%
Wise Network $1,206 - $4,071 338%
Injury Care Of Nevada $3,214 902%
Byu Risk Management $3,643 1022%
Corporation Of The President $3,643 1022%
Corvel Corporation $3,643 1022%
Wcf Insurance $3,643 1022%
Global Excel $4,071 1142%
Hygeia Corporation $4,071 1142%
Medcare International $4,071 1142%
Springtide $4,071 1142%
Uofu $4,071 1142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 905 North 1000 West, Tremonton, UT 84337
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals