CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital Northwest Arkansas
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $459
- Cash Discount Price: $4,007
- vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Northwest Arkansas is $459. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,007. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.29x the Medicare baseline. Located in 2710 South Rife Medical Lane, Rogers, AR.
Cash / Self-Pay
$4,007
Average discount available for prompt cash payment at this facility.
Insurance Median
$459
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: $4,007 (1124%)
Insurance Median: $459 (129%)
Cash: $4,007 (1124% of Medicare)
Ins. Median: $459 (129% 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
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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 | $189 - $459 | 53% |
| Arkansas Department Of Health [20036] | $206 | 58% |
| Summit Community Care Contracted [320368] | $206 | 58% |
| Summit Community Care [20368] | $206 | 58% |
| Aetna | $265 - $851 | 74% |
| Humana | $265 - $4,931 | 74% |
| American Health Advantage Of Mo Mcr [20264] | $321 | 90% |
| Blue Cross Blue Shield | $321 - $352 | 90% |
| Cherokee Nation Health Serv Contracted [320066] | $321 | 90% |
| Cigna | $321 - $724 | 90% |
| Cross Timbers Hospice [20098] | $321 | 90% |
| Dept Of Veteran Affairs Contracted [320106] | $321 | 90% |
| Elara Caring Aspire Hospice Contracted [320433] | $321 | 90% |
| Elara Caring Aspire Hospice [20433] | $321 | 90% |
| Globalhealth Contracted [320145] | $321 | 90% |
| Halo Hcr Inc Hospice Contracted [320432] | $321 | 90% |
| Halo Hcr Inc Hospice [20432] | $321 | 90% |
| Independent Health [20197] | $321 | 90% |
| Jordan Valley Senior Care Pace [20515] | $321 | 90% |
| Kindful Hospice Contracted [320434] | $321 | 90% |
| Kindful Hospice [20434] | $321 | 90% |
| Medical Associates Health [20444] | $321 | 90% |
| Medicare (plans) | $321 - $334 | 90% |
| Mercy Hospice Okc [20252] | $321 | 90% |
| Pace Of The Ozarks [20518] | $321 | 90% |
| Provider Partners Health Plans Contracted [320450] | $321 | 90% |
| Qual Choice Contracted [320325] | $321 | 90% |
| Spina Bifida Hlthcare Benefit [20506] | $321 | 90% |
| Tribute Health Plan Mcr [20338] | $321 | 90% |
| Tricare | $321 | 90% |
| UnitedHealthcare | $321 - $764 | 90% |
| Valir Pace [20503] | $321 | 90% |
| Wellfirst Health Mcr [20443] | $321 | 90% |
| Novasys Contracted [320285] | $327 - $459 | 92% |
| Usable Contracted [320409] | $352 | 99% |
| St Johns Mercy Rehab Llc Contracted [320359] | $360 | 101% |
| St Johns Mercy Rehab Llc [20359] | $360 | 101% |
| Ambetter / Centene | $459 | 129% |
| Home State Health Plan Contracted [320187] | $459 | 129% |
| Arkansas Total Care Contracted [320039] | $468 | 131% |
| Arkansas Total Care [20039] | $468 | 131% |
| Health Choice Contracted [320166] | $714 | 200% |
| United Medical Resources Contracted [320454] | $764 | 214% |
| Employers Health Coalition Contracted [320116] | $828 | 232% |
| Mercy Interfacility [20513] | $1,122 | 315% |
| First Health Contracted [320128] | $1,191 | 334% |
| Qual Choice Contracted [320324] | $1,525 | 428% |
| Aither Health Contracted [320449] | $1,541 | 432% |
| Edison Health Solutions Contracted [320502] | $1,541 | 432% |
| Mercy Benefit Admin Contracted [320251] | $1,541 - $3,698 | 432% |
| Yuzu Health Contracted [320521] | $1,541 | 432% |
| Municipal Health Plan Contracted [320271] | $1,700 | 477% |
| 90 Degree Benefits Contracted [320436] | $3,082 | 865% |
| Show-Me Health Administrators Contracted [320483] | $3,082 | 865% |
| Auxiant Contracted [320462] | $3,698 - $4,007 | 1038% |
| Ebms Contracted [320493] | $3,698 | 1038% |
| Healthlink Contracted [320179] | $3,698 - $4,007 | 1038% |
| Imagine 360 Contracted [320494] | $3,698 | 1038% |
| Reflect Health Contracted [320492] | $3,698 | 1038% |
| Benefit Management Contracted [320052] | $4,007 | 1124% |
| Federal Medical Center Contracted [320127] | $4,007 | 1124% |
| Insurance System Inc Contracted [320465] | $4,007 | 1124% |
| Personify Health Contracted [320051] | $4,007 | 1124% |
| Point C Contracted [320238] | $4,007 | 1124% |
| Preferred Health Plan Contracted [320522] | $4,007 | 1124% |
| Tri State Healthcare Coalition Contracted [320379] | $4,007 | 1124% |
| Workers Comp [20426] | $4,007 | 1124% |
| Private Health Care Systems Contracted [320320] | $4,500 | 1263% |
| Private Health Care Systems [20320] | $4,500 | 1263% |
| Ppo Plus Contracted [320310] | $4,623 | 1297% |
| Healthscope Contracted [320182] | $4,931 | 1383% |
| Multiplan Contracted [320270] | $5,239 | 1470% |
| Multiplan [20270] | $5,239 | 1470% |