CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Arkansas Surgical Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $362
  • Cash Discount Price: $440
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Arkansas Surgical Hospital is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $440. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 5201 North Shore Drive, No Little Rock, AR.
Cash / Self-Pay
$440

Average discount available for prompt cash payment at this facility.

Insurance Median
$362

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: $440 (123%)
Insurance Median: $362 (102%)
Cash: $440 (123% of Medicare)
Ins. Median: $362 (102% 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
Medicade Arkansas $206 58%
Medicaid / KanCare $206 58%
Aarp $328 92%
Aarp Supplemental $328 92%
Aetna $328 - $737 92%
Allianz Resolution Manage $328 92%
Allwell $328 92%
Americo $328 92%
Bankers Fidelity $328 92%
Bankers Life And Casualty $328 92%
Blue Cross Blue Shield $328 - $367 92%
Cigna $328 - $362 92%
Healthspring $328 92%
Hmo Medipak Adv $328 92%
Hmo Medipak Adv Plan $328 92%
Humana $328 92%
Medadvantage $328 92%
Medicare (plans) $328 92%
Medipak $328 92%
Medipak Advantage $328 92%
Railroad Retirement $328 92%
Sterling Option 1 $328 92%
Tricare $328 92%
UnitedHealthcare $328 - $859 92%
Vantage Health $328 92%
Vantage Health Plan Inc $328 92%
Vetern Choice Program $328 92%
Wellcare $328 92%
Wps Vapc3 $328 92%
Allegiance $362 102%
Allied Benefit System $362 102%
Apwu $362 102%
Apwu Health Plan $362 102%
Nalc $362 102%
Nalc Health Benefit Plan $362 102%
Nalc Medical Claims $362 102%
Priority Health $362 102%
Providence Health Plan $362 102%
S&S Healthcare Strategies $362 102%
Tufts Health Plan $362 102%
Blue Advantage $367 103%
Care First $367 103%
Health Advantage $367 103%
Premera $367 103%
True Blue $367 103%
True Blue Metallic $367 103%
Ambetter / Centene $459 129%
Qualchoice $491 138%
Qualchoice Adv Hmo $491 138%
Qualchoice Exchange $491 138%
Qualchoice Health Ins $491 138%
American Continental Life $737 207%
Municipal Health $800 224%
Municipal Health Benefit Fund $800 224%
All Savers $859 241%
All Savers Insurance $859 241%
Bind $859 241%
Freedom Life Ushealth $859 241%
Geha $859 241%
Golden Rule $859 241%
Golden Rule Ins $859 241%
Golden Rule Insurance $859 241%
Healthscope Benefits $859 241%
Medica $859 241%
Oxford $859 241%
Oxford Life $859 241%
Oxford Life Ins Company $859 241%
Oxford Life Insurance $859 241%
Oxford Life Insurance Co $859 241%
Surest $859 241%
United Healtcare Global $859 241%
United Hlth Shared Servic $859 241%
Ushealthgroup $859 241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5201 North Shore Drive, No Little Rock, AR 72118
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals