CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,393 - $4,626
from 4 insurers · median $3,590
Typical for a hospital with this service line
Sullivan, IN
39
In-network payers
127
Disclosed rate categories
25
Beds
Sullivan County Community Hospital is a 25-bed government - local hospital in Sullivan, IN. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 127 disclosed rate categories.
CCN (Medicare provider number)
151327
NPI
1497759260
Type
Critical Access Hospital
Ownership
Government - Local
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 Sullivan County Community 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
$2,393 - $4,626
from 4 insurers · median $3,590
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,960 - $3,789
from 4 insurers · median $2,919
Typical for a hospital with this service line
CT imaging
CPT 70450
$763 - $1,863
from 4 insurers · median $1,166
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,643 - $3,176
from 3 insurers · median $2,331
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,107 - $4,071
from 4 insurers · median $3,132
Typical for a hospital with this service line
Mammography
CPT 77067
$247 - $476
from 4 insurers · median $364
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$872 - $1,686
from 4 insurers · median $1,210
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,510 - $2,918
from 4 insurers · median $2,248
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$147 - $284
from 4 insurers · median $221
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,514 - $2,925
from 4 insurers · median $1,957
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,512 - $2,923
from 4 insurers · median $2,261
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,993
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,516 - $2,931
from 4 insurers · median $2,189
Hospital reports nuclear medicine services to CMS
Ultrasound
CPT 76830
$614 - $1,187
from 4 insurers · median $910
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$5,439
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$347 - $859
from 4 insurers · median $535
Typical for a hospital with this service line
Ultrasound
CPT 76856
$610 - $1,179
from 4 insurers · median $907
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$22 - $185
from 3 insurers · median $117
Typical for a hospital with this service line
Ultrasound
CPT 76770
$584 - $1,129
from 4 insurers · median $857
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,710 - $6,464
from 4 insurers · median $5,000
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$392 - $757
from 4 insurers · median $579
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,944
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77066
$369 - $795
from 4 insurers · median $568
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$228 - $441
from 4 insurers · median $340
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* | 20 | 1081% | 17 | 1 |
| Insurer B* | 21 | 776% | 14 | 4 |
| Insurer C* | 23 | 573% | 15 | 7 |
| Insurer D* | 21 | 571% | 6 | 14 |
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 Sullivan County Community Hospital.
2200 North Section Street, Sullivan, IN 47882
(812) 268-4311
About Sullivan County Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sullivan County Community Hospital range from $2,107 to $4,071 across 4 insurers. UnitedHealthcare's rate is $4,071. The median at nearby comparable hospitals is $2,369. 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 Sullivan County Community Hospital range from $2,393 to $4,626 across 4 insurers. Blue Cross Blue Shield's rate is $2,393. The median at nearby comparable hospitals is $1,520. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sullivan County Community Hospital range from $3,993 to $3,993 across 1 insurers. Aetna's rate is $3,993. The median at nearby comparable hospitals is $4,637. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sullivan County Community Hospital range from $247 to $476 across 4 insurers. Aetna's rate is $378. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sullivan County Community Hospital has 25 beds. Facility type: Critical Access Hospital.
Sullivan County Community Hospital is located at 2200 North Section Street, Sullivan, IN 47882. Its main phone number is (812) 268-4311.
Sullivan County Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 151327.
The National Provider Identifier (NPI) on file for Sullivan County Community Hospital is 1497759260.
Sullivan County Community Hospital lists 39 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
127 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.
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{
"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