CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: West Carroll Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $626
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at West Carroll Memorial Hospital is $626. 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 $356.43, this hospital’s rate is 1.76x 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
$626

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%)
Insurance Median: $626 (176%)
Ins. Median: $626 (176% 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.

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
UnitedHealthcare $144 - $1,271 40%
Aetna $254 - $757 71%
Medicaid / KanCare $254 - $327 71%
Omaha Insurance Company $254 71%
Pan-American Life Insurance Company $254 71%
United Of Omaha Life Insurance Company $254 71%
Blue Advantage $394 111%
Ambetter / Centene $400 112%
Medicare (plans) $458 128%
Amerihealth Caritas Louisiana $613 172%
Healthy Blue $639 179%
Insurance Systems Inc $639 179%
Louisiana Healthcare Connections $757 212%
Cigna $1,017 285%
Blue Cross Blue Shield $1,271 357%
Humana $1,271 357%
Novitas Solutions $1,271 357%
Seton Health Plan, Inc. $1,271 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 706 Ross Street, Oak Grove, LA 71263
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals