CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Missouri Baptist Sullivan Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$316
about 1.3× the $244 Medicare rate · typically $200–$997
modeled estimate · not a bill or quote
What this hospital charges insurers
$226
Below the fair price — a good deal
about $90 under the fair price · 0.9× Medicare
Medicare pays $244 Fair price $316 This hospital $226 Cash price $1,948 Hospital's list price $3,247

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $89 Priciest $226

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $316 (about 1.3× the $244 Medicare rate). Missouri Baptist Sullivan Hospital charges insurers about $226, or about $1,948 in cash — below the fair price — a good deal. Located in Sullivan, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $727 - $2,413 298%
Blue Cross Blue Shieldmajor $225 - $2,825 92%
Aetnamajor $714 - $2,435 293%
Cignamajor $1,977 - $2,598 811%
Humanamajor $721 - $2,159 296%
Devoted Health $784 322%
HealthLink $1,575 - $2,451 646%
Medica $764 - $2,598 313%
Priority Health $2,231 915%
UniCare $2,111 - $2,451 866%
+ 19 smaller / regional plans $714 - $2,435
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 751 Sappington Bridge Rd, Sullivan, MO 63080
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals