CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Mercy Hospital Booneville
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $1,055
- Cash Discount Price: $2,325
- vs. Medicare Baseline: 4.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mercy Hospital Booneville is $1,055. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,325. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.33x the Medicare baseline. Located in 880 West Main, Booneville, AR.
Cash / Self-Pay
$2,325
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,055
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,325 (954%)
Insurance Median: $1,055 (433%)
Cash: $2,325 (954% of Medicare)
Ins. Median: $1,055 (433% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 433% of the Medicare baseline (a markup of 333%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $89 - $1,452 | 37% |
| Summit Community Care Contracted [320368] | $108 | 44% |
| Summit Community Care [20368] | $108 | 44% |
| Aetna | $162 - $2,325 | 66% |
| Humana | $162 - $1,053 | 66% |
| Blue Cross Blue Shield | $224 - $1,053 | 92% |
| Usable Contracted [320409] | $224 | 92% |
| Arkansas Total Care Contracted [320039] | $246 | 101% |
| Arkansas Total Care [20039] | $246 | 101% |
| United Medical Resources Contracted [320454] | $524 | 215% |
| UnitedHealthcare | $524 - $1,053 | 215% |
| Qual Choice Contracted [320324] | $845 | 347% |
| American Health Advantage Of Mo Mcr [20264] | $1,053 | 432% |
| Cherokee Nation Health Serv Contracted [320066] | $1,053 | 432% |
| Cross Timbers Hospice [20098] | $1,053 | 432% |
| Dept Of Veteran Affairs Contracted [320106] | $1,053 | 432% |
| Elara Caring Aspire Hospice Contracted [320433] | $1,053 | 432% |
| Elara Caring Aspire Hospice [20433] | $1,053 | 432% |
| Globalhealth Contracted [320145] | $1,053 | 432% |
| Halo Hcr Inc Hospice Contracted [320432] | $1,053 | 432% |
| Halo Hcr Inc Hospice [20432] | $1,053 | 432% |
| Independent Health [20197] | $1,053 | 432% |
| Indian Health Service Contracted [320198] | $1,053 | 432% |
| Indian Health Service [20198] | $1,053 | 432% |
| Jordan Valley Senior Care Pace [20515] | $1,053 | 432% |
| Kindful Hospice Contracted [320434] | $1,053 | 432% |
| Kindful Hospice [20434] | $1,053 | 432% |
| Medical Associates Health [20444] | $1,053 | 432% |
| Medicare (plans) | $1,053 - $1,105 | 432% |
| Mercy Hospice Okc [20252] | $1,053 | 432% |
| Pace Of The Ozarks [20518] | $1,053 | 432% |
| Provider Partners Health Plans Contracted [320450] | $1,053 | 432% |
| Qual Choice Contracted [320325] | $1,053 | 432% |
| Spina Bifida Hlthcare Benefit [20506] | $1,053 | 432% |
| Valir Pace [20503] | $1,053 | 432% |
| Wellfirst Health Mcr [20443] | $1,053 | 432% |
| Tricare | $1,057 | 434% |
| Cigna | $1,105 - $3,040 | 453% |
| Ambetter / Centene | $1,452 | 596% |
| Home State Health Plan Contracted [320187] | $1,452 | 596% |
| Novasys Contracted [320285] | $1,452 | 596% |
| Mercy Interfacility [20513] | $1,746 | 716% |
| Auxiant Contracted [320462] | $2,146 - $3,040 | 880% |
| Mercy Benefit Admin Contracted [320251] | $2,146 - $3,040 | 880% |
| Workers Comp [20426] | $2,325 | 954% |
| Multiplan Contracted [320270] | $2,862 | 1174% |
| Private Health Care Systems Contracted [320320] | $2,862 | 1174% |
| 90 Degree Benefits Contracted [320436] | $3,040 | 1247% |
| Aither Health Contracted [320449] | $3,040 | 1247% |
| Ebms Contracted [320493] | $3,040 | 1247% |
| Edison Health Solutions Contracted [320502] | $3,040 | 1247% |
| Federal Medical Center Contracted [320127] | $3,040 | 1247% |
| Healthlink Contracted [320179] | $3,040 | 1247% |
| Healthscope Contracted [320182] | $3,040 | 1247% |
| Imagine 360 Contracted [320494] | $3,040 | 1247% |
| Insurance System Inc Contracted [320465] | $3,040 | 1247% |
| Personify Health Contracted [320051] | $3,040 | 1247% |
| Point C Contracted [320238] | $3,040 | 1247% |
| Ppo Plus Contracted [320310] | $3,040 | 1247% |
| Preferred Health Plan Contracted [320522] | $3,040 | 1247% |
| Reflect Health Contracted [320492] | $3,040 | 1247% |
| Show-Me Health Administrators Contracted [320483] | $3,040 | 1247% |
| Tri State Healthcare Coalition Contracted [320379] | $3,040 | 1247% |
| Municipal Health Plan Contracted [320271] | $3,219 | 1321% |