CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,729
  • Cash Discount Price: $3,214
  • vs. Medicare Baseline: 10.46x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Intermountain Health Heber Valley Hospital is $3,729. 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 10.46x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$3,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,729

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: $3,729 (1046%)
Cash: $3,214 (902% of Medicare)
Ins. Median: $3,729 (1046% 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 1046% of the Medicare baseline (a markup of 946%). 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
Triwest $85 - $3,239 24%
Aetna $1,137 - $3,782 319%
Awh Connected $1,206 - $3,836 338%
Blue Cross Blue Shield $1,206 - $3,793 338%
Byu Athletics $1,206 - $3,729 338%
Campbell Scientific $1,206 - $3,729 338%
Cigna $1,206 - $3,793 338%
Deseret Mutual $1,206 - $3,793 338%
Emi $1,206 - $3,793 338%
Emi Health $1,206 - $3,729 338%
Franklin County $1,206 - $3,729 338%
Ifit $1,206 - $3,729 338%
Intermountain Caregiver Plan $1,206 - $3,793 338%
Juniper Systems $1,206 - $3,729 338%
Lw Miller $1,206 - $3,729 338%
Managed Care Admin $1,206 - $3,729 338%
Motivhealth $1,206 - $3,729 338%
Pehp $1,206 - $3,857 338%
Prodegi Corp Benefit $1,206 - $3,729 338%
Selecthealth $1,206 - $3,814 338%
Tanner Llc $1,206 - $3,729 338%
UnitedHealthcare $1,206 - $3,793 338%
Utah Tech $1,206 - $3,729 338%
Wise Network $1,206 - $3,729 338%
American Health $1,286 361%
Health Partners Of Nevada $1,286 361%
Health Plan Of Nevada $1,286 - $3,814 361%
Healthy U $1,286 - $3,814 361%
Humana $1,286 361%
Molina $1,286 - $3,814 361%
Corporation Of The President $3,214 902%
Corvel Corporation $3,214 902%
Injury Care Of Nevada $3,214 902%
Wcf Insurance $3,214 902%
Byu Risk Management $3,643 1022%
Medcare International $3,643 1022%
Springtide $3,643 1022%
Uofu $3,643 1022%
Global Excel $3,857 1082%
Health Utah $3,857 1082%
Hygeia Corporation $3,857 1082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals