CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Mercy Hospital Lincoln
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $337
- Cash Discount Price: $1,408
- vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mercy Hospital Lincoln is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,408. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.38x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$1,408
Average discount available for prompt cash payment at this facility.
Insurance Median
$337
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: $1,408 (578%)
Insurance Median: $337 (138%)
Cash: $1,408 (578% of Medicare)
Ins. Median: $337 (138% 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.
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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 | $26 - $1,806 | 11% |
| Aetna | $60 - $2,577 | 25% |
| Tricare | $85 - $842 | 35% |
| Medicare (plans) | $86 - $3,934 | 35% |
| UnitedHealthcare | $87 - $2,596 | 36% |
| American Health Advantage Of Mo Mcr [10473] | $93 - $926 | 38% |
| Blue Cross Blue Shield | $93 - $3,029 | 38% |
| Cherokee Nation Health Serv Contracted [320066] | $93 - $926 | 38% |
| Cross Timbers Hospice [20098] | $93 - $926 | 38% |
| Dept Of Veteran Affairs Contracted [320106] | $93 - $926 | 38% |
| Elara Caring Aspire Hospice Contracted [320433] | $93 - $926 | 38% |
| Elara Caring Aspire Hospice [20433] | $93 - $926 | 38% |
| Globalhealth Contracted [320145] | $93 - $926 | 38% |
| Halo Hcr Inc Hospice Contracted [320432] | $93 - $926 | 38% |
| Halo Hcr Inc Hospice [20432] | $93 - $926 | 38% |
| Humana | $93 - $3,541 | 38% |
| Indian Health Service Contracted [320198] | $93 - $926 | 38% |
| Kindful Hospice Contracted [320434] | $93 - $926 | 38% |
| Kindful Hospice [20434] | $93 - $926 | 38% |
| Mercy Hospice Okc [20252] | $93 - $926 | 38% |
| Pace Of The Ozarks Contracted [320518] | $93 - $926 | 38% |
| Provider Partners Health Plans Contracted [320450] | $93 - $921 | 38% |
| Qual Choice Contracted [320325] | $93 - $926 | 38% |
| Cigna | $100 - $3,265 | 41% |
| Centivo Contracted [320505] | $144 - $1,428 | 59% |
| Medica Contracted [320239] | $167 - $1,652 | 69% |
| Ambetter / Centene | $182 - $1,806 | 75% |
| Home State Health Plan Contracted [320187] | $182 - $1,806 | 75% |
| Novasys Contracted [320285] | $182 - $1,806 | 75% |
| Hope Trust Contracted [320488] | $197 - $1,947 | 81% |
| Health Choices Contracted [320448] | $238 - $2,360 | 98% |
| Health Choices [20448] | $238 - $2,360 | 98% |
| Medical Associates Health Contracted [320444] | $238 - $2,360 | 98% |
| First Health Contracted [320128] | $260 - $2,577 | 107% |
| United Medical Resources Contracted [320454] | $262 - $2,596 | 107% |
| Mercy Mgd Behavioral Health Contracted [320259] | $298 | 122% |
| Multiplan Contracted [320270] | $298 - $2,950 | 122% |
| Private Health Care Systems Contracted [320320] | $298 | 122% |
| Workers Comp [20426] | $298 - $3,147 | 122% |
| Healthlink Contracted [320179] | $322 - $3,501 | 132% |
| Aither Health Contracted [320449] | $337 - $3,344 | 138% |
| Aither Health [20449] | $337 - $3,344 | 138% |
| Auxiant Contracted [320462] | $337 - $3,344 | 138% |
| Ebms Contracted [320493] | $337 - $3,344 | 138% |
| Edison Health Solutions Contracted [320502] | $337 - $3,344 | 138% |
| Federal Medical Center Contracted [320127] | $337 - $3,344 | 138% |
| Imagine 360 Contracted [320494] | $337 - $3,344 | 138% |
| Insurance System Inc Contracted [320465] | $337 - $3,344 | 138% |
| Mercy Benefit Admin Contracted [320251] | $337 - $3,344 | 138% |
| Mercy Benefit Admin [20251] | $337 - $3,344 | 138% |
| Point C Contracted [320238] | $337 - $3,344 | 138% |
| Preferred Health Plan Contracted [320522] | $337 - $3,344 | 138% |
| Reflect Health Contracted [320492] | $337 - $3,344 | 138% |
| Show-Me Health Administrators Contracted [320483] | $337 - $3,344 | 138% |
| Tri State Healthcare Coalition Contracted [320379] | $337 - $3,344 | 138% |
| Yuzu Health Contracted [320521] | $337 - $3,344 | 138% |