CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Ochsner Choctaw General

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,081
Cash Discount Price: $1,790
vs. Medicare Baseline: 3.03x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Ochsner Choctaw General is $1,081. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,790. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.03x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$1,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,081

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: $1,790 (502%)

Insurance Median: $1,081 (303%)

Cash: $1,790 (502% of Medicare)

Ins. Median: $1,081 (303% 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 303% of the Medicare baseline (a markup of 203%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$285 - $299	80%
Cigna	$500 - $1,060	140%
UnitedHealthcare	$589 - $1,295	165%
Humana	$928 - $1,060	260%
Blue Cross Blue Shield	$973	273%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$1,060	297%
Medicare (plans)	$1,060 - $1,219	297%
Ambetter / Centene	$1,070	300%
Shared Health Mississippi	$1,113	312%
Aetna	$1,531	430%
Primewell Health Services Commercial Exchange Plan	$1,578	443%
Primewell Health Services – Commercial	$1,578	443%
Select Administrative Services Network	$1,648	462%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,766	495%
Zelis	$1,766	495%
Prime Health Services Ppo -Workers Comp	$1,879	527%
Prime Health Services Ppo	$1,884	529%
Cor Vel	$1,919	538%

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 $1,790.
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 Ochsner Choctaw General 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.