CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: West Carroll Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $394
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at West Carroll Memorial Hospital is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.62x the Medicare baseline. Located in 706 Ross Street, Oak Grove, LA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$394

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%)

Insurance Median: $394 (162%)

Ins. Median: $394 (162% 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.

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
Blue Cross Blue Shield	$106	43%
Hmo Of Louisiana	$106	43%
UnitedHealthcare	$139 - $1,271	57%
Humana	$146	60%
Aetna	$212 - $613	87%
Mutual Of Omaha Companies Claims Department	$254	104%
Omaha Insurance Company	$254	104%
United Of Omaha Life Insurance Company	$254	104%
Medicaid / KanCare	$324	133%
Tricare	$391	160%
Blue Advantage	$394	162%
Medicare (plans)	$458	188%
Amerihealth Caritas Louisiana	$613	251%
Louisiana Healthcare Connections	$613	251%
Healthy Blue	$757	311%
Cigna	$1,017	417%
Insurance Systems Inc	$1,080	443%
Novitas Solutions	$1,271	521%

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 $X.
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 West Carroll Memorial Hospital 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.