CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sheridan Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $399
Cash Discount Price: $1,239
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sheridan Memorial Hospital is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,239. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.12x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$1,239

Average discount available for prompt cash payment at this facility.

Insurance Median

$399

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: $1,239 (348%)

Insurance Median: $399 (112%)

Cash: $1,239 (348% of Medicare)

Ins. Median: $399 (112% 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 - $2,223	22%
Humana	$83 - $382	23%
Wy School Boards-All Plans	$351 - $2,236	98%
UnitedHealthcare	$360 - $2,295	101%
Pacificsource-All Plans	$370 - $2,357	104%
Wise Provider Network-All Plans	$370 - $2,491	104%
C1 Employee - All Plans	$378 - $2,410	106%
Casper Opco Llc - All Plans	$378 - $2,410	106%
First Health Comm - All Plans	$378 - $2,410	106%
Medi-Share Profee Only - All Plans	$378	106%
Miscellaneous-All Plans	$378 - $2,410	106%
Cigna	$386 - $2,491	108%
Ebms - All Plans	$399 - $2,544	112%
First Choice Comm - All Plans	$399 - $2,544	112%
Phcs Multiplan-All Plans	$399 - $2,544	112%
Three Rivers-All Plans	$399 - $2,544	112%

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 $1,239.
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 Sheridan Memorial Hospital 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.