CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy Hospital Carthage

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,858
Cash Discount Price: $2,200
vs. Medicare Baseline: 5.21x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Carthage is $1,858. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,200. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.21x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.

Cash / Self-Pay

$2,200

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,858

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: $2,200 (617%)

Insurance Median: $1,858 (521%)

Cash: $2,200 (617% of Medicare)

Ins. Median: $1,858 (521% 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 521% of the Medicare baseline (a markup of 421%). 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
Aetna	$189 - $3,012	53%
Humana	$189 - $1,015	53%
Medicaid / KanCare	$189 - $1,858	53%
Blue Cross Blue Shield	$207 - $1,180	58%
Medicare (plans)	$334 - $1,001	94%
UnitedHealthcare	$469 - $2,944	132%
Cherokee Nation Health Serv Contracted [320066]	$930	261%
Cigna	$930 - $3,046	261%
Cross Timbers Hospice [20098]	$930	261%
Dept Of Veteran Affairs Contracted [320106]	$930	261%
Elara Caring Aspire Hospice [20433]	$930	261%
Globalhealth Contracted [320145]	$930	261%
Halo Hcr Inc Hospice Contracted [320432]	$930	261%
Halo Hcr Inc Hospice [20432]	$930	261%
Indian Health Service Contracted [320198]	$930	261%
Kindful Hospice Contracted [320434]	$930	261%
Kindful Hospice [20434]	$930	261%
Medical Associates Health Contracted [320444]	$930	261%
Mercy Hospice Okc [20252]	$930	261%
Mercy Mgd Behavioral Health Contracted [320259]	$930	261%
Pace Of The Ozarks Contracted [320518]	$930	261%
Provider Partners Health Plans Contracted [320450]	$930	261%
Qual Choice Contracted [320325]	$930	261%
Tricare	$933	262%
United Medical Resources Contracted [320454]	$1,031 - $3,046	289%
Point C Contracted [320238]	$1,184 - $3,046	332%
Health Systems Inc Contracted [320174]	$1,455	408%
Insurance System Inc Contracted [320465]	$1,455	408%
Administrative Payor Contracted [320005]	$1,523	427%
Centivo Contracted [320505]	$1,557	437%
Healthscope Contracted [320182]	$1,763	495%
Ambetter / Centene	$1,858	521%
Home State Health Plan Contracted [320187]	$1,858	521%
Novasys Contracted [320285]	$1,858	521%
Benefit Management Contracted [320052]	$2,030 - $2,944	570%
Auxiant Contracted [320462]	$2,200 - $2,876	617%
Healthlink Contracted [320179]	$2,200 - $3,147	617%
Preferred Health Plan Contracted [320522]	$2,200	617%
Workers Comp [20426]	$2,707 - $3,384	759%
90 Degree Benefits Contracted [320436]	$2,876	807%
Aither Health Contracted [320449]	$2,876	807%
Ebms Contracted [320493]	$2,876	807%
Edison Health Solutions Contracted [320502]	$2,876	807%
Imagine 360 Contracted [320494]	$2,876	807%
Mercy Benefit Admin Contracted [320251]	$2,876 - $3,046	807%
Reflect Health Contracted [320492]	$2,876	807%
Show-Me Health Administrators Contracted [320483]	$2,876	807%
Yuzu Health Contracted [320521]	$2,876	807%
Medica Contracted [320239]	$2,931	822%
Evolutions Health Care Contracted [320124]	$2,944	826%
First Health Contracted [320128]	$2,944	826%
Multiplan Contracted [320270]	$2,944	826%
Private Health Care Systems Contracted [320320]	$2,944	826%
American Healthcare Alliance Contracted [320020]	$3,046	855%
Ppo Plus Contracted [320310]	$3,046	855%
Usa Managed Care Org Contracted [320429]	$3,046	855%

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 $2,200.
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 Hospital Carthage 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.