CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital Joplin
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $1,434
- Cash Discount Price: $3,961
- vs. Medicare Baseline: 4.02x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Joplin is $1,434. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,961. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.02x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$3,961
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,434
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: $3,961 (1111%)
Insurance Median: $1,434 (402%)
Cash: $3,961 (1111% of Medicare)
Ins. Median: $1,434 (402% 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 402% of the Medicare baseline (a markup of 302%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $180 - $4,443 | 51% |
| Indian Health Service Contracted [320198] | $180 - $3,961 | 51% |
| Aetna | $189 - $318 | 53% |
| Humana | $189 - $1,828 | 53% |
| Medicaid / KanCare | $189 - $548 | 53% |
| Champva [20065] | $318 | 89% |
| Cherokee Nation Health Serv Contracted [320066] | $318 | 89% |
| Cigna | $318 - $1,097 | 89% |
| Cross Timbers Hospice [20098] | $318 | 89% |
| Dept Of Veteran Affairs Contracted [320106] | $318 | 89% |
| Elara Caring Aspire Hospice [20433] | $318 | 89% |
| Globalhealth Contracted [320145] | $318 | 89% |
| Halo Hcr Inc Hospice Contracted [320432] | $318 | 89% |
| Halo Hcr Inc Hospice [20432] | $318 | 89% |
| Kindful Hospice Contracted [320434] | $318 | 89% |
| Kindful Hospice [20434] | $318 | 89% |
| Medicare (plans) | $318 - $334 | 89% |
| Mercy Hospice Okc [20252] | $318 | 89% |
| Mercy Mgd Behavioral Health Contracted [320259] | $318 | 89% |
| Pace Of The Ozarks Contracted [320518] | $318 | 89% |
| Provider Partners Health Plans Contracted [320450] | $318 | 89% |
| Qual Choice Contracted [320325] | $318 | 89% |
| Tricare | $318 | 89% |
| UnitedHealthcare | $318 - $828 | 89% |
| Centivo Contracted [320505] | $324 | 91% |
| Healthscope Contracted [320182] | $405 | 114% |
| Ambetter / Centene | $465 | 130% |
| Home State Health Plan Contracted [320187] | $465 | 130% |
| Novasys Contracted [320285] | $465 | 130% |
| Providrs Care Network Contracted [320484] | $661 | 185% |
| Health Choice Contracted [320166] | $714 | 200% |
| Medica Contracted [320239] | $734 | 206% |
| United Medical Resources Contracted [320454] | $828 - $1,451 | 232% |
| Healthlink Contracted [320179] | $1,434 - $3,961 | 402% |
| 90 Degree Benefits Contracted [320436] | $1,810 | 508% |
| Mercy Benefit Admin Contracted [320251] | $1,810 - $3,474 | 508% |
| Show-Me Health Administrators Contracted [320483] | $1,810 - $1,902 | 508% |
| Point C Contracted [320238] | $2,133 - $4,875 | 598% |
| Benefit Management Contracted [320052] | $2,620 | 735% |
| Health Systems Inc Contracted [320174] | $2,620 | 735% |
| Insurance System Inc Contracted [320465] | $2,620 | 735% |
| Administrative Payor Contracted [320005] | $2,742 | 769% |
| Aither Health Contracted [320449] | $3,474 | 975% |
| Auxiant Contracted [320462] | $3,474 - $3,961 | 975% |
| Ebms Contracted [320493] | $3,474 | 975% |
| Edison Health Solutions Contracted [320502] | $3,474 | 975% |
| Imagine 360 Contracted [320494] | $3,474 | 975% |
| Reflect Health Contracted [320492] | $3,474 | 975% |
| Yuzu Health Contracted [320521] | $3,474 | 975% |
| Preferred Health Plan Contracted [320522] | $3,961 | 1111% |
| First Health Contracted [320128] | $4,150 | 1164% |
| American Healthcare Alliance Contracted [320020] | $4,266 | 1197% |
| Multiplan Contracted [320270] | $4,692 | 1316% |
| Private Health Care Systems Contracted [320320] | $4,692 | 1316% |
| Usable Contracted [320409] | $4,692 | 1316% |
| Point C [20238] | $4,875 | 1368% |
| Workers Comp [20426] | $4,875 - $6,094 | 1368% |
| Usa Managed Care Org Contracted [320429] | $5,363 | 1505% |
| Ppo Plus Contracted [320310] | $5,485 | 1539% |