CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $4,568
Cash Discount Price: $1,523
vs. Medicare Baseline: 18.74x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mercy Regional Medical Center is $4,568. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,523. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.74x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$1,523

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,568

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: $1,523 (625%)

Insurance Median: $4,568 (1874%)

Cash: $1,523 (625% of Medicare)

Ins. Median: $4,568 (1874% 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 1874% of the Medicare baseline (a markup of 1774%). 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
Pp0/Manged Care	$155 - $5,076	64%
Ppo/Manged Care	$155 - $5,076	64%
Blue Cross Blue Shield	$449	184%
Aetna	$614	252%
Mcd Hmo Amerigroup	$614	252%
Mcd Hmo La Care	$614	252%
Mcd Hmo La Hlth Cr Connct	$614	252%
Medicaid / KanCare	$614 - $5,076	252%
UnitedHealthcare	$620	254%
Mcd Hmo Com Hlth Solution	$675	277%
Charity/Map	$1,523 - $5,076	625%
American Postal Workers	$4,060	1666%
Work Comp	$4,568	1874%
Commerical	$5,076	2082%
Commerical Ip	$5,076	2082%
Mcr American Hlth Adv	$5,076	2082%
Medicare (plans)	$5,076	2082%
Mra Auto/Liability	$5,076	2082%
Tricare	$5,076	2082%

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 $1,523.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.