CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Avoyelles Hospital
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $5,065
- Cash Discount Price: $1,688
- vs. Medicare Baseline: 14.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Avoyelles Hospital is $5,065. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,688. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.21x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$1,688
Average discount available for prompt cash payment at this facility.
Insurance Median
$5,065
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: $1,688 (474%)
Insurance Median: $5,065 (1421%)
Cash: $1,688 (474% of Medicare)
Ins. Median: $5,065 (1421% 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 1421% of the Medicare baseline (a markup of 1321%). 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 - $3,163 | 94% |
| Amer Contl Ins | $336 - $3,163 | 94% |
| Coventry | $336 - $3,163 | 94% |
| First Choice Health | $336 - $3,163 | 94% |
| Meritan Health | $336 - $5,628 | 94% |
| Blue Cross Blue Shield | $598 | 168% |
| Ofc Of Grp Bene | $598 | 168% |
| Cigna | $1,171 - $3,174 | 329% |
| Correct Cr Int Hlt | $1,171 | 329% |
| Mcd Amerihealth Caritas | $1,171 | 329% |
| Mcd Healthy Blue | $1,171 | 329% |
| Mcd La Hc Conn | $1,171 | 329% |
| Medicaid / KanCare | $1,171 | 329% |
| UnitedHealthcare | $1,171 | 329% |
| Mcd Ms | $1,288 | 361% |
| Student Assurances | $1,688 - $5,628 | 474% |
| Humana | $2,026 - $3,191 | 568% |
| Ppo Plus Llc | $3,377 | 947% |
| Zelis Healthcare Bpa | $3,377 | 947% |
| Gilsbar | $3,546 | 995% |
| Amerind | $5,065 | 1421% |
| Applied Underwriters | $5,065 | 1421% |
| Sedgwick | $5,065 | 1421% |
| Us Dept Of Labor | $5,065 | 1421% |
| Wc Clms Admin Svcs | $5,065 | 1421% |
| Wc Clms Mgmnt Walmart | $5,065 | 1421% |
| Wc Esis | $5,065 | 1421% |
| Wc Fara | $5,065 | 1421% |
| Wc Gallagher Bassett | $5,065 | 1421% |
| Wc Guide One | $5,065 | 1421% |
| Wc Hartford Med | $5,065 | 1421% |
| Wc Luba | $5,065 | 1421% |
| Wc Lwcc | $5,065 | 1421% |
| Wc Paragon Casino Resort | $5,065 | 1421% |
| Wc Risk Mgmnt | $5,065 | 1421% |
| Wc Stone Trust | $5,065 | 1421% |
| Wc Summit Consulting Hold | $5,065 | 1421% |
| Wc Travelers Ins | $5,065 | 1421% |
| Wc Trs Workers Comp Claim | $5,065 | 1421% |
| Wc Us Dol | $5,065 | 1421% |
| Wc Zurich | $5,065 | 1421% |
| Aarp | $5,628 | 1579% |
| Admin Concepts | $5,628 | 1579% |
| All Saints Hospice | $5,628 | 1579% |
| All State | $5,628 | 1579% |
| Allegiance Health Hospice | $5,628 | 1579% |
| Allied Natl | $5,628 | 1579% |
| Amfirst | $5,628 | 1579% |
| Avoy Parish School Board | $5,628 | 1579% |
| Avoyelles Parish Sheriff | $5,628 | 1579% |
| Bollinger | $5,628 | 1579% |
| Ccmsi | $5,628 | 1579% |
| Central States | $5,628 | 1579% |
| Christus Health Plan | $5,628 | 1579% |
| Compassionate Care Hospic | $5,628 | 1579% |
| Core Source | $5,628 | 1579% |
| Coushatta Hlth Dept | $5,628 | 1579% |
| Ebms | $5,628 | 1579% |
| Federated Ins | $5,628 | 1579% |
| Feedom Life | $5,628 | 1579% |
| Fidelity Standard Life Co | $5,628 | 1579% |
| Fox Everette | $5,628 | 1579% |
| Guarantee Trust | $5,628 | 1579% |
| Heart Of Hospice | $5,628 | 1579% |
| Hos Christus Hospice | $5,628 | 1579% |
| Hos Guardian Hospice Care | $5,628 | 1579% |
| Hos Harbor Hospice Alex | $5,628 | 1579% |
| Hos La Hospice Palliative | $5,628 | 1579% |
| Hos Passages Hospice N. | $5,628 | 1579% |
| Hos St Joseph Hospice | $5,628 | 1579% |
| Hospice Miscellaneous | $5,628 | 1579% |
| Ins Mgmnt Admin | $5,628 | 1579% |
| Ins Tpa | $5,628 | 1579% |
| Liberty Health Share | $5,628 | 1579% |
| Lumico | $5,628 | 1579% |
| Manhattan Life Ins | $5,628 | 1579% |
| Medi Share | $5,628 | 1579% |
| Misc Comm | $5,628 | 1579% |
| Nalc | $5,628 | 1579% |
| New Era Life | $5,628 | 1579% |
| North American | $5,628 | 1579% |
| Phcs | $5,628 | 1579% |
| Physicians Mutual | $5,628 | 1579% |
| Pipeline Ind Bene | $5,628 | 1579% |
| Progressive Auto | $5,628 | 1579% |
| Reliance Standard Life | $5,628 | 1579% |
| Rural Carriers | $5,628 | 1579% |
| Shelter Ins Co | $5,628 | 1579% |
| Sierre Health And Life | $5,628 | 1579% |
| State Farm | $5,628 | 1579% |
| State Mutual | $5,628 | 1579% |
| Sterling Investors | $5,628 | 1579% |
| The Health Plan | $5,628 | 1579% |
| Tribal Hlth Partners | $5,628 | 1579% |
| Tricare | $5,628 | 1579% |
| Trustmark Health Benefits | $5,628 | 1579% |
| Tunica Biloxi | $5,628 | 1579% |
| Uct | $5,628 | 1579% |
| Unified Life | $5,628 | 1579% |
| Usaa Life Ins | $5,628 | 1579% |
| Web-Tpa | $5,628 | 1579% |
| Woodmen Of The World | $5,628 | 1579% |