CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: South Lincoln Medical Center - Cah

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,709
  • Cash Discount Price: $1,883
  • vs. Medicare Baseline: 10.41x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at South Lincoln Medical Center - Cah is $3,709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,883. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.41x the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.
Cash / Self-Pay
$1,883

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,709

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: $1,883 (528%)
Insurance Median: $3,709 (1041%)
Cash: $1,883 (528% of Medicare)
Ins. Median: $3,709 (1041% 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 1041% of the Medicare baseline (a markup of 941%). 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 $83 - $3,915 23%
Blue Cross Blue Shield $83 - $3,462 23%
Humana $83 - $2,143 23%
UnitedHealthcare $99 - $3,709 28%
Health Infonet/First Choice - All Plans $855 - $3,915 240%
Altius Health Plans - All Plans $3,709 1041%
Cigna $3,709 1041%
Great West Healthcare - All Plans $3,709 1041%
Integrated Hp - All Plans $3,709 1041%
Winhealth Partners - All Plans $3,709 1041%
Ccn - All Plans $3,915 1098%
Geha - All Plans $3,915 1098%
Three Rivers - All Plans $3,915 1098%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 Onyx Street, Kemmerer, WY 83101
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals