CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$196 - $1,361
from 4 insurers · median $781
Typical for a hospital with this service line
Blountstown, FL
29
In-network payers
181
Disclosed rate categories
25
Beds
Calhoun Liberty Hospital is a 25-bed voluntary non-profit - private hospital in Blountstown, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 181 disclosed rate categories.
CCN (Medicare provider number)
101304
NPI
1437253085
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Calhoun Liberty Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$196 - $1,361
from 4 insurers · median $781
Typical for a hospital with this service line
CT imaging
CPT 70450
$168 - $478
from 4 insurers · median $343
Typical for a hospital with this service line
CT imaging
CPT 74176
$180 - $1,170
from 4 insurers · median $697
Typical for a hospital with this service line
CT imaging
CPT 71275
$337 - $942
from 2 insurers · median $640
Typical for a hospital with this service line
Mammography
CPT 77067
$74 - $150
from 3 insurers · median $136
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,438
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$61 - $169
from 3 insurers · median $119
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$169 - $452
from 2 insurers · median $310
Typical for a hospital with this service line
MRI imaging
CPT 72148
$562 - $1,237
from 3 insurers · median $811
Typical for a hospital with this service line
MRI imaging
CPT 70551
$562 - $1,097
from 3 insurers · median $811
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$482 - $660
from 2 insurers · median $571
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$440 - $482
from 2 insurers · median $461
Typical for a hospital with this service line
MRI imaging
CPT 73721
$562 - $1,114
from 3 insurers · median $811
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$482 - $605
from 2 insurers · median $544
Typical for a hospital with this service line
Ultrasound
CPT 76705
$66 - $180
from 4 insurers · median $142
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$79 - $299
from 3 insurers · median $238
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$110 - $309
from 3 insurers · median $169
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$397 - $482
from 2 insurers · median $439
Typical for a hospital with this service line
Ultrasound
CPT 76642
$56 - $180
from 4 insurers · median $137
Typical for a hospital with this service line
Ultrasound
CPT 76830
$92 - $180
from 4 insurers · median $155
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$9 - $71
from 4 insurers · median $27
Typical for a hospital with this service line
Ultrasound
CPT 76856
$153 - $180
from 3 insurers · median $160
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$26 - $169
from 4 insurers · median $95
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$26 - $169
from 4 insurers · median $83
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 289% | 0 | 15 |
| Insurer B* | 23 | 169% | 0 | 0 |
| Insurer C* | 23 | 150% | 0 | 12 |
| Insurer D* | 10 | 69% | 0 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Calhoun Liberty Hospital.
20370 Ne Burns Avenue, Blountstown, FL 32424
(850) 674-3493
About Calhoun Liberty Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Calhoun Liberty Hospital range from $2,438 to $2,438 across 1 insurers. Blue Cross Blue Shield's rate is $2,438. The median at nearby comparable hospitals is $2,474. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Calhoun Liberty Hospital range from $196 to $1,361 across 4 insurers. Cigna's rate is $1,225. The median at nearby comparable hospitals is $1,471. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Calhoun Liberty Hospital range from $482 to $660 across 2 insurers. Cigna's rate is $660. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Calhoun Liberty Hospital range from $74 to $150 across 3 insurers. Aetna's rate is $136. The median at nearby comparable hospitals is $129. What a patient pays depends on their plan's deductible, coinsurance and network status.
Calhoun Liberty Hospital has 25 beds. Facility type: Critical Access Hospital.
Calhoun Liberty Hospital is located at 20370 Ne Burns Avenue, Blountstown, FL 32424. Its main phone number is (850) 674-3493.
Calhoun Liberty Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 101304.
The National Provider Identifier (NPI) on file for Calhoun Liberty Hospital is 1437253085.
Calhoun Liberty Hospital lists 29 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
181 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers