CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Ochsner Medical Center Acute

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $906
  • Cash Discount Price: $566
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Ochsner Medical Center Acute is $906. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $566. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.54x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$566

Average discount available for prompt cash payment at this facility.

Insurance Median
$906

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: $566 (159%)
Insurance Median: $906 (254%)
Cash: $566 (159% of Medicare)
Ins. Median: $906 (254% 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 254% of the Medicare baseline (a markup of 154%). 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.

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
Tricare $129 - $328 36%
Medicaid / KanCare $285 - $299 80%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $328 92%
Blue Cross Blue Shield $328 - $1,199 92%
Healthy Blue Dual Advantage (Hmo-D-Snp) $328 92%
Humana $328 - $346 92%
Medicare (plans) $328 92%
Ochsner Health Plan $328 92%
UnitedHealthcare $328 - $828 92%
Healthy Blue (Healthy Louisiana) $353 99%
Louisiana Healthcare Connections (Healthy Louisiana) $353 99%
Aetna $356 - $1,799 100%
Amerihealth Caritas Louisiana (Healthy Louisiana) $356 100%
Pace New Orleans $361 101%
Christus Health Exchange Plan $747 210%
Zelis $983 276%
Cigna $1,372 385%
First Health Network $1,716 481%
Louisiana Workers' Compensation Corporation (Lwcc) $1,716 481%
Mississippi Physicians Care Network $1,716 481%
Healthcomp & Personify Health (Formerly Gilsbar) $1,808 507%
Claritev D/B/A Multiplan/Phcs/American Life Care $1,830 513%
Employers Health Network (Ehn) $1,945 546%
Prime Health Services Ppo $1,945 546%
Usa Managed Care Network $1,945 546%
Behavioral Health Systems $2,059 578%
Evolutions Healthcare $2,059 578%
Galaxy Health Network Ppo $2,059 578%
Galaxy Health Network Wc $2,059 578%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals