CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy Hospital Southeast

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $564
  • Cash Discount Price: $1,081
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Southeast is $564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,081. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.58x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$1,081

Average discount available for prompt cash payment at this facility.

Insurance Median
$564

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: $1,081 (303%)
Insurance Median: $564 (158%)
Cash: $1,081 (303% of Medicare)
Ins. Median: $564 (158% 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
Aetna $108 - $1,064 30%
Medicaid / KanCare $108 - $548 30%
Imagine 360 Contracted [320494] $226 63%
Blue Cross Blue Shield $335 - $1,980 94%
Cross Timbers Hospice [20098] $335 94%
Dept Of Veteran Affairs Contracted [320106] $335 94%
Elara Caring Aspire Hospice Contracted [320433] $335 94%
Elara Caring Aspire Hospice [20433] $335 94%
Halo Hcr Inc Hospice Contracted [320432] $335 94%
Halo Hcr Inc Hospice [20432] $335 94%
Humana $335 - $1,414 94%
Kindful Hospice Contracted [320434] $335 94%
Kindful Hospice [20434] $335 94%
Medicare (plans) $335 - $352 94%
Mercy Hospice Okc [20252] $335 94%
Pace Of The Ozarks Contracted [320518] $335 94%
Tricare $335 94%
Ambetter / Centene $342 96%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $342 96%
Home State Health Plan Contracted [320187] $342 96%
Hope Trust Contracted [320488] $342 96%
UnitedHealthcare $342 - $2,303 96%
Provider Partners Health Plans Contracted [320450] $386 108%
Consociate Consolidated Health Contracted [320490] $470 - $755 132%
Auxiant Contracted [320462] $564 - $671 158%
Centivo Contracted [320505] $564 158%
Ebms Contracted [320493] $564 158%
Healthlink Contracted [320179] $564 - $1,297 158%
Mercy Benefit Admin Contracted [320251] $564 - $1,131 158%
Reflect Health Contracted [320492] $585 164%
Preferred Health Plan Contracted [320522] $598 168%
First Health Contracted [320128] $1,064 299%
Health Alliance Contracted [320164] $1,081 303%
Aither Health Contracted [320449] $1,131 317%
Edison Health Solutions Contracted [320502] $1,131 317%
Mercy Benefit Admin [20251] $1,131 317%
Yuzu Health Contracted [320521] $1,131 317%
Workers Comp [20426] $1,247 - $1,330 350%
Multiplan Contracted [320270] $1,330 373%
Private Health Care Systems Contracted [320320] $1,330 373%
Cigna $1,384 388%
United Medical Resources Contracted [320454] $2,303 646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals