CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Hospital Stoddard

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $368
  • Cash Discount Price: $2,148
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mercy Hospital Stoddard is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,148. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 1200 N One Mile Rd, Dexter, MO.
Cash / Self-Pay
$2,148

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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: $2,148 (881%)
Insurance Median: $368 (151%)
Cash: $2,148 (881% of Medicare)
Ins. Median: $368 (151% 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.

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
Medicaid / KanCare $206 - $3,305 85%
Acentra Health Contracted [320527] $215 88%
Aetna $215 - $2,479 88%
Blue Cross Blue Shield $215 - $2,974 88%
Cross Timbers Hospice [20098] $215 88%
Dept Of Veteran Affairs Contracted [320106] $215 88%
Elara Caring Aspire Hospice Contracted [320433] $215 88%
Elara Caring Aspire Hospice [20433] $215 88%
Halo Hcr Inc Hospice Contracted [320432] $215 88%
Halo Hcr Inc Hospice [20432] $215 88%
Humana $215 88%
Kindful Hospice Contracted [320434] $215 88%
Kindful Hospice [20434] $215 88%
Medicare (plans) $215 - $227 88%
Mercy Hospice Okc [20252] $215 88%
Pace Of The Ozarks Contracted [320518] $215 88%
Tricare $215 88%
UnitedHealthcare $215 - $1,559 88%
Ambetter / Centene $219 90%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $219 90%
Home State Health Plan Contracted [320187] $219 90%
Hope Trust Contracted [320488] $219 90%
Provider Partners Health Plans Contracted [320450] $247 101%
Consociate Consolidated Health Contracted [320490] $301 - $483 123%
Auxiant Contracted [320462] $361 - $438 148%
Ebms Contracted [320493] $361 148%
Healthlink Contracted [320179] $361 - $2,644 148%
Imagine 360 Contracted [320494] $361 148%
Mercy Benefit Admin Contracted [320251] $361 - $2,247 148%
Reflect Health Contracted [320492] $374 153%
Preferred Health Plan Contracted [320522] $383 157%
Cigna $760 312%
United Medical Resources Contracted [320454] $1,559 640%
Health Alliance Contracted [320164] $2,148 881%
Aither Health Contracted [320449] $2,247 922%
Edison Health Solutions Contracted [320502] $2,247 922%
Mercy Benefit Admin [20251] $2,247 922%
Yuzu Health Contracted [320521] $2,247 922%
First Health Contracted [320128] $2,479 1017%
Workers Comp [20426] $2,479 - $2,644 1017%
Multiplan Contracted [320270] $2,644 1085%
Private Health Care Systems Contracted [320320] $2,644 1085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 N One Mile Rd, Dexter, MO 63841
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals