CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Avoyelles Hospital
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $4,602
- Cash Discount Price: $1,534
- vs. Medicare Baseline: 18.88x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Avoyelles Hospital is $4,602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,534. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.88x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$1,534
Average discount available for prompt cash payment at this facility.
Insurance Median
$4,602
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: $1,534 (629%)
Insurance Median: $4,602 (1888%)
Cash: $1,534 (629% of Medicare)
Ins. Median: $4,602 (1888% 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 1888% of the Medicare baseline (a markup of 1788%). 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 |
|---|---|---|
| Aetna | $336 - $2,874 | 138% |
| Amer Contl Ins | $336 - $2,874 | 138% |
| Coventry | $336 - $2,874 | 138% |
| First Choice Health | $336 - $2,874 | 138% |
| Meritan Health | $336 - $5,114 | 138% |
| Blue Cross Blue Shield | $365 | 150% |
| Ofc Of Grp Bene | $365 | 150% |
| Cigna | $1,064 - $2,884 | 436% |
| Correct Cr Int Hlt | $1,064 | 436% |
| Mcd Amerihealth Caritas | $1,064 | 436% |
| Mcd Healthy Blue | $1,064 | 436% |
| Mcd La Hc Conn | $1,064 | 436% |
| Medicaid / KanCare | $1,064 | 436% |
| UnitedHealthcare | $1,064 | 436% |
| Mcd Ms | $1,170 | 480% |
| Student Assurances | $1,534 - $5,114 | 629% |
| Humana | $1,841 - $2,899 | 755% |
| Ppo Plus Llc | $3,068 | 1259% |
| Zelis Healthcare Bpa | $3,068 | 1259% |
| Gilsbar | $3,222 | 1322% |
| Amerind | $4,602 | 1888% |
| Applied Underwriters | $4,602 | 1888% |
| Sedgwick | $4,602 | 1888% |
| Us Dept Of Labor | $4,602 | 1888% |
| Wc Clms Admin Svcs | $4,602 | 1888% |
| Wc Clms Mgmnt Walmart | $4,602 | 1888% |
| Wc Esis | $4,602 | 1888% |
| Wc Fara | $4,602 | 1888% |
| Wc Gallagher Bassett | $4,602 | 1888% |
| Wc Guide One | $4,602 | 1888% |
| Wc Hartford Med | $4,602 | 1888% |
| Wc Luba | $4,602 | 1888% |
| Wc Lwcc | $4,602 | 1888% |
| Wc Paragon Casino Resort | $4,602 | 1888% |
| Wc Risk Mgmnt | $4,602 | 1888% |
| Wc Stone Trust | $4,602 | 1888% |
| Wc Summit Consulting Hold | $4,602 | 1888% |
| Wc Travelers Ins | $4,602 | 1888% |
| Wc Trs Workers Comp Claim | $4,602 | 1888% |
| Wc Us Dol | $4,602 | 1888% |
| Wc Zurich | $4,602 | 1888% |
| Aarp | $5,114 | 2098% |
| Admin Concepts | $5,114 | 2098% |
| All Saints Hospice | $5,114 | 2098% |
| All State | $5,114 | 2098% |
| Allegiance Health Hospice | $5,114 | 2098% |
| Allied Natl | $5,114 | 2098% |
| Amfirst | $5,114 | 2098% |
| Avoy Parish School Board | $5,114 | 2098% |
| Avoyelles Parish Sheriff | $5,114 | 2098% |
| Bollinger | $5,114 | 2098% |
| Ccmsi | $5,114 | 2098% |
| Central States | $5,114 | 2098% |
| Christus Health Plan | $5,114 | 2098% |
| Compassionate Care Hospic | $5,114 | 2098% |
| Core Source | $5,114 | 2098% |
| Coushatta Hlth Dept | $5,114 | 2098% |
| Ebms | $5,114 | 2098% |
| Federated Ins | $5,114 | 2098% |
| Feedom Life | $5,114 | 2098% |
| Fidelity Standard Life Co | $5,114 | 2098% |
| Fox Everette | $5,114 | 2098% |
| Guarantee Trust | $5,114 | 2098% |
| Heart Of Hospice | $5,114 | 2098% |
| Hos Christus Hospice | $5,114 | 2098% |
| Hos Guardian Hospice Care | $5,114 | 2098% |
| Hos Harbor Hospice Alex | $5,114 | 2098% |
| Hos La Hospice Palliative | $5,114 | 2098% |
| Hos Passages Hospice N. | $5,114 | 2098% |
| Hos St Joseph Hospice | $5,114 | 2098% |
| Hospice Miscellaneous | $5,114 | 2098% |
| Ins Mgmnt Admin | $5,114 | 2098% |
| Ins Tpa | $5,114 | 2098% |
| Liberty Health Share | $5,114 | 2098% |
| Lumico | $5,114 | 2098% |
| Manhattan Life Ins | $5,114 | 2098% |
| Medi Share | $5,114 | 2098% |
| Misc Comm | $5,114 | 2098% |
| Nalc | $5,114 | 2098% |
| New Era Life | $5,114 | 2098% |
| North American | $5,114 | 2098% |
| Phcs | $5,114 | 2098% |
| Physicians Mutual | $5,114 | 2098% |
| Pipeline Ind Bene | $5,114 | 2098% |
| Progressive Auto | $5,114 | 2098% |
| Reliance Standard Life | $5,114 | 2098% |
| Rural Carriers | $5,114 | 2098% |
| Shelter Ins Co | $5,114 | 2098% |
| Sierre Health And Life | $5,114 | 2098% |
| State Farm | $5,114 | 2098% |
| State Mutual | $5,114 | 2098% |
| Sterling Investors | $5,114 | 2098% |
| The Health Plan | $5,114 | 2098% |
| Tribal Hlth Partners | $5,114 | 2098% |
| Tricare | $5,114 | 2098% |
| Trustmark Health Benefits | $5,114 | 2098% |
| Tunica Biloxi | $5,114 | 2098% |
| Uct | $5,114 | 2098% |
| Unified Life | $5,114 | 2098% |
| Usaa Life Ins | $5,114 | 2098% |
| Web-Tpa | $5,114 | 2098% |
| Woodmen Of The World | $5,114 | 2098% |