CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mahaska Health Partnership

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $783
Cash Discount Price: $913
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mahaska Health Partnership is $783. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $913. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.20x the Medicare baseline. Located in 1229 C Avenue East, Oskaloosa, IA.

Cash / Self-Pay

$913

Average discount available for prompt cash payment at this facility.

Insurance Median

$783

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: $913 (256%)

Insurance Median: $783 (220%)

Cash: $913 (256% of Medicare)

Ins. Median: $783 (220% 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 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$80 - $1,852	22%
Amerigroup Mcr Adv	$80 - $1,050	22%
Humana	$80 - $1,050	22%
UnitedHealthcare	$80 - $1,231	22%
Iowa Total Care Mcr	$82 - $1,050	23%
Iowa Total Care Comm - All Other Plans	$92 - $1,050	26%
Midlands Choice - All Plans	$184 - $1,852	52%
Medicaid / KanCare	$240 - $783	67%
Molina Mcaid - All Plans	$240 - $783	67%
Wellmark Hmo	$877	246%
Wellmark Ppo - All Other Plans	$964	270%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $913.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mahaska Health Partnership is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.