CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Hospital Lebanon

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,804
Cash Discount Price: $2,430
vs. Medicare Baseline: 11.50x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mercy Hospital Lebanon is $2,804. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,430. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.50x the Medicare baseline. Located in 100 Hospital Drive, Lebanon, MO.

Cash / Self-Pay

$2,430

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,804

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: $2,430 (997%)

Insurance Median: $2,804 (1150%)

Cash: $2,430 (997% of Medicare)

Ins. Median: $2,804 (1150% 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 1150% of the Medicare baseline (a markup of 1050%). 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
Medicaid / KanCare	$89 - $423	37%
Medicare (plans)	$221 - $234	91%
Aetna	$230 - $1,546	94%
Blue Cross Blue Shield	$230 - $1,089	94%
Champva [20065]	$230	94%
Cherokee Nation Health Serv Contracted [320066]	$230	94%
Cigna	$230 - $2,766	94%
Cross Timbers Hospice [20098]	$230	94%
Dept Of Veteran Affairs Contracted [320106]	$230	94%
Elara Caring Aspire Hospice [20433]	$230	94%
Globalhealth Contracted [320145]	$230	94%
Halo Hcr Inc Hospice Contracted [320432]	$230	94%
Halo Hcr Inc Hospice [20432]	$230	94%
Humana	$230 - $3,177	94%
Kindful Hospice Contracted [320434]	$230	94%
Kindful Hospice [20434]	$230	94%
Mercy Hospice Okc [20252]	$230	94%
Mercy Mgd Behavioral Health Contracted [320259]	$230	94%
Pace Of The Ozarks Contracted [320518]	$230	94%
Provider Partners Health Plans Contracted [320450]	$230	94%
Qual Choice Contracted [320325]	$230	94%
Tricare	$230	94%
UnitedHealthcare	$230 - $3,551	94%
Healthscope Contracted [320182]	$293	120%
Centivo Contracted [320505]	$387	159%
Ambetter / Centene	$423	174%
Home State Health Plan Contracted [320187]	$423	174%
Novasys Contracted [320285]	$423	174%
Medica Contracted [320239]	$836	343%
Medica [20239]	$836	343%
Administrative Payor Contracted [320005]	$1,682	690%
Healthlink Contracted [320179]	$2,430 - $3,177	997%
Preferred Health Plan Contracted [320522]	$2,430	997%
90 Degree Benefits Contracted [320436]	$2,804	1150%
Mercy Benefit Admin Contracted [320251]	$2,804 - $2,990	1150%
Show-Me Health Administrators Contracted [320483]	$2,804	1150%
United Medical Resources Contracted [320454]	$2,804 - $2,990	1150%
Aither Health Contracted [320449]	$2,990	1227%
Auxiant Contracted [320462]	$2,990	1227%
Benefit Management Contracted [320052]	$2,990	1227%
Ebms Contracted [320493]	$2,990	1227%
Edison Health Solutions Contracted [320502]	$2,990	1227%
Evolutions Health Care Contracted [320124]	$2,990	1227%
First Health Contracted [320128]	$2,990	1227%
Health Systems Inc Contracted [320174]	$2,990	1227%
Imagine 360 Contracted [320494]	$2,990	1227%
Insurance System Inc Contracted [320465]	$2,990	1227%
Point C Contracted [320238]	$2,990 - $3,551	1227%
Point C [20238]	$2,990	1227%
Reflect Health Contracted [320492]	$2,990	1227%
Workers Comp [20426]	$2,990 - $3,177	1227%
Yuzu Health Contracted [320521]	$2,990	1227%
American Healthcare Alliance Contracted [320020]	$3,177	1303%
Usa Managed Care Org Contracted [320429]	$3,289	1349%
Multiplan Contracted [320270]	$3,551	1457%
Private Health Care Systems Contracted [320320]	$3,551	1457%

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 $2,430.
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 Hospital Lebanon 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.