CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital South
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $367
- Cash Discount Price: $2,040
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital South is $367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,040. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 10010 Kennerly Road, Saint Louis, MO.
Cash / Self-Pay
$2,040
Average discount available for prompt cash payment at this facility.
Insurance Median
$367
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: $2,040 (572%)
Insurance Median: $367 (103%)
Cash: $2,040 (572% of Medicare)
Ins. Median: $367 (103% 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
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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 | $204 - $502 | 57% |
| Medica Contracted [320239] | $261 | 73% |
| Aetna | $332 - $471 | 93% |
| American Health Advantage Of Mo Mcr [10473] | $332 | 93% |
| Blue Cross Blue Shield | $332 - $2,825 | 93% |
| Cherokee Nation Health Serv Contracted [320066] | $332 | 93% |
| Cross Timbers Hospice [20098] | $332 | 93% |
| Dept Of Veteran Affairs Contracted [320106] | $332 | 93% |
| Elara Caring Aspire Hospice Contracted [320433] | $332 | 93% |
| Elara Caring Aspire Hospice [20433] | $332 | 93% |
| Globalhealth Contracted [320145] | $332 | 93% |
| Halo Hcr Inc Hospice Contracted [320432] | $332 | 93% |
| Halo Hcr Inc Hospice [20432] | $332 | 93% |
| Humana | $332 - $805 | 93% |
| Kindful Hospice Contracted [320434] | $332 | 93% |
| Kindful Hospice [20434] | $332 | 93% |
| Medicare (plans) | $332 - $3,139 | 93% |
| Mercy Hospice Okc [20252] | $332 | 93% |
| Pace Of The Ozarks Contracted [320518] | $332 | 93% |
| Qual Choice Contracted [320325] | $332 | 93% |
| Tricare | $332 | 93% |
| UnitedHealthcare | $332 - $476 | 93% |
| Cigna | $338 - $1,413 | 95% |
| Hope Trust Contracted [320488] | $338 | 95% |
| Provider Partners Health Plans Contracted [320450] | $366 | 103% |
| St Johns Mercy Rehab Llc Contracted [320359] | $366 | 103% |
| Aither Health Contracted [320449] | $367 | 103% |
| Aither Health [20449] | $367 | 103% |
| Auxiant Contracted [320462] | $367 | 103% |
| Ebms Contracted [320493] | $367 | 103% |
| Edison Health Solutions Contracted [320502] | $367 | 103% |
| Healthlink Contracted [320179] | $367 - $2,135 | 103% |
| Imagine 360 Contracted [320494] | $367 | 103% |
| Mercy Benefit Admin Contracted [320251] | $367 - $420 | 103% |
| Mercy Benefit Admin [20251] | $367 - $420 | 103% |
| Reflect Health Contracted [320492] | $367 | 103% |
| Show-Me Health Administrators Contracted [320483] | $367 | 103% |
| Yuzu Health Contracted [320521] | $367 | 103% |
| United Medical Resources Contracted [320454] | $476 | 134% |
| Ambetter / Centene | $487 | 137% |
| Home State Health Plan Contracted [320187] | $487 | 137% |
| Novasys Contracted [320285] | $487 | 137% |
| Workers Comp [20426] | $525 - $2,511 | 147% |
| Centivo Contracted [320505] | $558 | 157% |
| Preferred Health Plan Contracted [320522] | $592 | 166% |
| First Health Contracted [320128] | $805 - $2,229 | 226% |
| Health Choices Contracted [320448] | $1,883 | 528% |
| Health Choices [20448] | $1,883 | 528% |
| Medical Associates Health Contracted [320444] | $1,883 | 528% |
| Federal Medical Center Contracted [320127] | $2,040 | 572% |
| Insurance System Inc Contracted [320465] | $2,040 | 572% |
| Point C Contracted [320238] | $2,040 | 572% |
| Tri State Healthcare Coalition Contracted [320379] | $2,040 | 572% |
| Multiplan Contracted [320270] | $2,354 | 660% |