CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy St Francis Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,260
Cash Discount Price: $3,076
vs. Medicare Baseline: 11.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy St Francis Hospital is $4,260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,076. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.95x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$3,076

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,260

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: $3,076 (863%)

Insurance Median: $4,260 (1195%)

Cash: $3,076 (863% of Medicare)

Ins. Median: $4,260 (1195% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1195% of the Medicare baseline (a markup of 1095%). 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	$207 - $2,456	58%
Medicare (plans)	$333 - $1,690	93%
Blue Cross Blue Shield	$335 - $4,591	94%
UnitedHealthcare	$469 - $4,496	132%
Tricare	$1,610	452%
Aetna	$1,623 - $4,212	455%
Cherokee Nation Health Serv Contracted [320066]	$1,623	455%
Cigna	$1,623 - $4,496	455%
Cross Timbers Hospice [20098]	$1,623	455%
Dept Of Veteran Affairs Contracted [320106]	$1,623	455%
Elara Caring Aspire Hospice [20433]	$1,623	455%
Globalhealth Contracted [320145]	$1,623	455%
Halo Hcr Inc Hospice Contracted [320432]	$1,623	455%
Halo Hcr Inc Hospice [20432]	$1,623	455%
Humana	$1,623 - $4,260	455%
Indian Health Service Contracted [320198]	$1,623	455%
Kindful Hospice Contracted [320434]	$1,623	455%
Kindful Hospice [20434]	$1,623	455%
Medical Associates Health Contracted [320444]	$1,623	455%
Mercy Hospice Okc [20252]	$1,623	455%
Mercy Mgd Behavioral Health Contracted [320259]	$1,623	455%
Pace Of The Ozarks Contracted [320518]	$1,623	455%
Provider Partners Health Plans Contracted [320450]	$1,623	455%
Qual Choice Contracted [320325]	$1,623	455%
Administrative Payor Contracted [320005]	$2,130	598%
Healthscope Contracted [320182]	$2,158	605%
Ambetter / Centene	$2,456	689%
Home State Health Plan Contracted [320187]	$2,456	689%
Novasys Contracted [320285]	$2,456	689%
Centivo Contracted [320505]	$2,745	770%
Healthlink Contracted [320179]	$3,076 - $4,496	863%
Preferred Health Plan Contracted [320522]	$3,076	863%
Workers Comp [20426]	$3,786 - $4,023	1062%
Auxiant Contracted [320462]	$4,260 - $4,496	1195%
Mercy Benefit Admin Contracted [320251]	$4,260 - $4,496	1195%
Point C Contracted [320238]	$4,260 - $4,496	1195%
United Medical Resources Contracted [320454]	$4,260 - $4,402	1195%
Medica Contracted [320239]	$4,473	1255%
90 Degree Benefits Contracted [320436]	$4,496	1261%
Aither Health Contracted [320449]	$4,496	1261%
Benefit Management Contracted [320052]	$4,496	1261%
Ebms Contracted [320493]	$4,496	1261%
Edison Health Solutions Contracted [320502]	$4,496	1261%
Evolutions Health Care Contracted [320124]	$4,496	1261%
First Health Contracted [320128]	$4,496	1261%
Health Systems Inc Contracted [320174]	$4,496	1261%
Imagine 360 Contracted [320494]	$4,496	1261%
Insurance System Inc Contracted [320465]	$4,496	1261%
Multiplan Contracted [320270]	$4,496	1261%
Point C [20238]	$4,496	1261%
Private Health Care Systems Contracted [320320]	$4,496	1261%
Reflect Health Contracted [320492]	$4,496	1261%
Show-Me Health Administrators Contracted [320483]	$4,496	1261%
Usa Managed Care Org Contracted [320429]	$4,496	1261%
Yuzu Health Contracted [320521]	$4,496	1261%

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 $3,076.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.