CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: White River Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $367
  • Cash Discount Price: $721
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at White River Medical Center is $367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $721. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 1710 Harrison Street, Batesville, AR.
Cash / Self-Pay
$721

Average discount available for prompt cash payment at this facility.

Insurance Median
$367

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: $721 (202%)
Insurance Median: $367 (103%)
Cash: $721 (202% of Medicare)
Ins. Median: $367 (103% 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

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 $164 - $906 46%
Arkansas Total Care $164 46%
Summit Community Care $164 46%
Arkansas Superior Select Wrmc $350 98%
Blue Cross Blue Shield $350 - $367 98%
Hmo Partners Inc Wrmc $350 98%
Medipak Advantage Wrmc $350 98%
UnitedHealthcare $350 98%
Medicare (plans) $357 100%
Cigna $360 101%
Allwell Wrmc $367 103%
Wellcare Wrmc $367 103%
Ambetter / Centene $490 137%
Municipal Health Benefit Fund $500 - $577 140%
Qualchoice (Alliance) Wrmc $536 150%
Provider Network Of America Wrmc $560 157%
Multiplan $624 - $721 175%
Vantage Health Plan Wrmc $979 275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1710 Harrison Street, Batesville, AR 72503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals