CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Merit Health River Oaks

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $215
  • Cash Discount Price: $1,139
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Merit Health River Oaks is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,139. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.88x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$1,139

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $1,139 (467%)
Insurance Median: $215 (88%)
Cash: $1,139 (467% of Medicare)
Ins. Median: $215 (88% 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
Cigna $18 - $2,491 7%
Self Pay $20 - $2,754 8%
UnitedHealthcare $25 - $3,342 10%
Trimed Billing Solutions $28 - $3,755 11%
Ms State Hospital Of Whitfield Ms $35 - $4,757 14%
First Choice Standard $42 - $5,758 17%
First Choice Coventry $48 - $6,509 20%
First Choice Mpcn Standard $51 - $6,885 21%
First Choice Ppo Plus $51 - $6,885 21%
Phcs $55 - $7,511 23%
Benefit Administration Services $66 - $10,640 27%
Benefit Management Systems $66 - $10,640 27%
Citizens State Bank Inc $66 - $10,640 27%
First Choice Stratose $74 - $10,014 30%
Prime Health Services $74 - $10,014 30%
American Health Group $78 - $10,640 32%
Beech Street $78 - $10,640 32%
Formost $78 - $10,640 32%
Usa Mco $78 - $10,640 32%
One Health Plan $83 - $11,266 34%
Ms Dept Of Rehabilitation Services $92 - $7,381 38%
Veterans Eval Services $92 - $206 38%
Medicaid / KanCare $184 - $1,909 75%
Magnolia Mcd Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Ms Work Comp $202 83%
Prime Health Wc $202 83%
Tricare $205 84%
Humana $212 87%
Medicare (plans) $212 87%
Node First Choice Shared Health Of Ms Mcr Adv $212 87%
Node Vantage Health Mcr Adv $212 87%
Node Champva $215 88%
Node Hospice Non Par Agree $215 88%
Node Va $215 88%
Molina $216 89%
Node Devoted Health Mcr Adv $216 89%
Node First Choice American Health Mcr Adv $216 89%
Aetna $218 - $400 89%
Node First Choice Wellcare Mcr Adv $220 90%
Node Healthy Mississippi Mcr Adv $237 97%
Node Us Dept Of Labor $269 110%
First Choice Preferred $323 133%
Node First Choice Occunet $323 133%
Molina Exchange $362 149%
Node First Choice Seven Corners $366 150%
Magnolia Exchange $377 155%
First Choice Lgp $470 193%
Vantage Health Commercial $485 199%
Advanced Health Systems $486 199%
Blue Cross Blue Shield $712 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals