CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mosaic Life Care at St Joseph

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,436
Cash Discount Price: $3,060
vs. Medicare Baseline: 6.83x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mosaic Life Care at St Joseph is $2,436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,060. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.83x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$3,060

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,436

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: $3,060 (859%)

Insurance Median: $2,436 (683%)

Cash: $3,060 (859% of Medicare)

Ins. Median: $2,436 (683% 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 683% of the Medicare baseline (a markup of 583%). 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
Aetna	$71 - $3,473	20%
Medicaid / KanCare	$71 - $252	20%
UnitedHealthcare	$71 - $5,922	20%
Amerigroup Of Iowa	$82 - $307	23%
Iowa Total Care	$82 - $307	23%
Molina Of Iowa	$82 - $307	23%
Blue Cross Blue Shield	$92 - $3,646	26%
Ambetter / Centene	$502 - $684	141%
Centurion	$1,200 - $2,940	337%
Geha Shared Services	$2,436 - $3,410	683%
Freedom Select Healthlink	$2,576 - $3,606	723%
Healthlink Open Access	$2,576 - $3,606	723%
Preferred Health Professional	$2,576 - $3,606	723%
Sisco	$2,576 - $3,606	723%
Cigna	$2,640 - $3,696	741%
Multiplan	$2,700 - $3,780	758%
Home State Of Missouri	$4,350 - $6,090	1220%
Healthy Blue Of Missouri	$5,340 - $7,476	1498%

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 $3,060.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mosaic Life Care at St Joseph is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.