CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital Waldron
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $1,246
- Cash Discount Price: $2,848
- vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Waldron is $1,246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,848. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.50x the Medicare baseline. Located in 1341 West Sixth Street, Waldron, AR.
Cash / Self-Pay
$2,848
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,246
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: $2,848 (799%)
Insurance Median: $1,246 (350%)
Cash: $2,848 (799% of Medicare)
Ins. Median: $1,246 (350% 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 350% of the Medicare baseline (a markup of 250%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 - $1,709 | 53% |
| Summit Community Care Contracted [320368] | $206 | 58% |
| Aetna | $265 - $2,848 | 74% |
| Humana | $265 - $3,724 | 74% |
| Blue Cross Blue Shield | $367 - $1,203 | 103% |
| Usable Contracted [320409] | $367 | 103% |
| Novasys Contracted [320285] | $397 - $1,709 | 111% |
| Arkansas Total Care Contracted [320039] | $468 | 131% |
| United Medical Resources Contracted [320454] | $859 | 241% |
| UnitedHealthcare | $859 - $1,203 | 241% |
| Tricare | $1,183 | 332% |
| American Health Advantage Of Mo Mcr [20264] | $1,203 | 338% |
| Cherokee Nation Health Serv Contracted [320066] | $1,203 | 338% |
| Cross Timbers Hospice [20098] | $1,203 | 338% |
| Dept Of Veteran Affairs Contracted [320106] | $1,203 | 338% |
| Elara Caring Aspire Hospice Contracted [320433] | $1,203 | 338% |
| Elara Caring Aspire Hospice [20433] | $1,203 | 338% |
| Globalhealth Contracted [320145] | $1,203 | 338% |
| Halo Hcr Inc Hospice Contracted [320432] | $1,203 | 338% |
| Halo Hcr Inc Hospice [20432] | $1,203 | 338% |
| Independent Health [20197] | $1,203 | 338% |
| Indian Health Service Contracted [320198] | $1,203 | 338% |
| Indian Health Service [20198] | $1,203 | 338% |
| Jordan Valley Senior Care Pace [20515] | $1,203 | 338% |
| Kindful Hospice Contracted [320434] | $1,203 | 338% |
| Kindful Hospice [20434] | $1,203 | 338% |
| Medical Associates Health [20444] | $1,203 | 338% |
| Medicare (plans) | $1,203 - $1,263 | 338% |
| Mercy Hospice Okc [20252] | $1,203 | 338% |
| Pace Of The Ozarks [20518] | $1,203 | 338% |
| Provider Partners Health Plans Contracted [320450] | $1,203 | 338% |
| Qual Choice Contracted [320325] | $1,203 | 338% |
| Spina Bifida Hlthcare Benefit [20506] | $1,203 | 338% |
| Valir Pace [20503] | $1,203 | 338% |
| Cigna | $1,263 - $3,724 | 354% |
| Qual Choice Contracted [320324] | $1,525 | 428% |
| Ambetter / Centene | $1,709 | 479% |
| Home State Health Plan Contracted [320187] | $1,709 | 479% |
| Mercy Interfacility [20513] | $1,950 | 547% |
| Auxiant Contracted [320462] | $2,629 - $3,943 | 738% |
| Mercy Benefit Admin Contracted [320251] | $2,629 - $3,943 | 738% |
| Workers Comp [20426] | $2,848 | 799% |
| 90 Degree Benefits Contracted [320436] | $3,724 | 1045% |
| Aither Health Contracted [320449] | $3,724 | 1045% |
| Ebms Contracted [320493] | $3,724 | 1045% |
| Edison Health Solutions Contracted [320502] | $3,724 | 1045% |
| Healthlink Contracted [320179] | $3,724 - $3,943 | 1045% |
| Imagine 360 Contracted [320494] | $3,724 | 1045% |
| Multiplan Contracted [320270] | $3,724 | 1045% |
| Multiplan [20270] | $3,724 | 1045% |
| Municipal Health Plan Contracted [320271] | $3,724 | 1045% |
| Reflect Health Contracted [320492] | $3,724 | 1045% |
| Show-Me Health Administrators Contracted [320483] | $3,724 | 1045% |
| Federal Medical Center Contracted [320127] | $3,943 | 1106% |
| Healthscope Contracted [320182] | $3,943 | 1106% |
| Insurance System Inc Contracted [320465] | $3,943 | 1106% |
| Personify Health Contracted [320051] | $3,943 | 1106% |
| Point C Contracted [320238] | $3,943 | 1106% |
| Preferred Health Plan Contracted [320522] | $3,943 | 1106% |
| Tri State Healthcare Coalition Contracted [320379] | $3,943 | 1106% |