CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital Oklahoma City, Inc
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $1,311
- Cash Discount Price: $3,116
- vs. Medicare Baseline: 3.68x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Oklahoma City, Inc is $1,311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,116. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.68x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$3,116
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,311
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: $3,116 (874%)
Insurance Median: $1,311 (368%)
Cash: $3,116 (874% of Medicare)
Ins. Median: $1,311 (368% 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 368% of the Medicare baseline (a markup of 268%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $189 - $3,466 | 53% |
| Humana | $189 - $3,308 | 53% |
| Medicaid / KanCare | $189 - $459 | 53% |
| Tricare | $316 - $333 | 89% |
| Blue Cross Blue Shield | $333 - $357 | 93% |
| Champva [20065] | $333 | 93% |
| Cherokee Nation Health Serv Contracted [320066] | $333 | 93% |
| Cross Timbers Hospice [20098] | $333 | 93% |
| Dept Of Veteran Affairs Contracted [320106] | $333 | 93% |
| Elara Caring Aspire Hospice Contracted [320433] | $333 | 93% |
| Elara Caring Aspire Hospice [20433] | $333 | 93% |
| Halo Hcr Inc Hospice Contracted [320432] | $333 | 93% |
| Halo Hcr Inc Hospice [20432] | $333 | 93% |
| Indian Health Service Contracted [320198] | $333 | 93% |
| Kindful Hospice Contracted [320434] | $333 | 93% |
| Kindful Hospice [20434] | $333 | 93% |
| Longevity Health Plan [10477] | $333 | 93% |
| Medicare (plans) | $333 - $357 | 93% |
| Mercy Hospice Okc [20252] | $333 | 93% |
| Mercy Rehab Hospital Contracted [320260] | $333 | 93% |
| Provider Partners Health Plans Contracted [320450] | $333 | 93% |
| Qual Choice Contracted [320325] | $333 | 93% |
| UnitedHealthcare | $333 - $752 | 93% |
| Globalhealth Contracted [320145] | $340 | 95% |
| Cigna | $343 - $2,867 | 96% |
| Amg Spec Hosp Edmond [20034] | $357 | 100% |
| Ambetter / Centene | $459 | 129% |
| Home State Health Plan Contracted [320187] | $459 | 129% |
| Novasys Contracted [320285] | $459 | 129% |
| Medica Contracted [320239] | $469 | 132% |
| Globalhealth Contracted [320144] | $470 | 132% |
| Community Care Contracted [320080] | $510 - $3,356 | 143% |
| Workers Comp [20426] | $641 | 180% |
| Health Choice Contracted [320166] | $714 | 200% |
| Healthsmart Preferred Care Contracted [320184] | $750 - $3,116 | 210% |
| Kempton Contracted [320214] | $750 | 210% |
| United Medical Resources Contracted [320454] | $752 - $3,116 | 211% |
| Healthcare Highways Plus Contracted [320175] | $1,870 - $2,876 | 525% |
| Webtpa Contracted [320417] | $2,013 | 565% |
| Osma Health Contracted [320292] | $2,157 | 605% |
| Aither Health Contracted [320449] | $2,876 | 807% |
| Auxiant Contracted [320462] | $2,876 - $3,116 | 807% |
| Benefit Management Contracted [320052] | $2,876 - $3,116 | 807% |
| Ebms Contracted [320493] | $2,876 | 807% |
| Healthlink Contracted [320179] | $2,876 - $3,116 | 807% |
| Imagine 360 Contracted [320494] | $2,876 | 807% |
| Mercy Benefit Admin Contracted [320251] | $2,876 - $3,116 | 807% |
| Quik Trip Contracted [320447] | $2,876 | 807% |
| Reflect Health Contracted [320492] | $2,876 | 807% |
| Show-Me Health Administrators Contracted [320483] | $2,876 | 807% |
| Yuzu Health Contracted [320521] | $2,876 | 807% |
| First Health Contracted [320128] | $2,953 | 828% |
| Federal Medical Center Contracted [320127] | $3,116 | 874% |
| Healthscope Contracted [320182] | $3,116 | 874% |
| Healthsmart Accel Contracted [320183] | $3,116 | 874% |
| Point C Contracted [320238] | $3,116 | 874% |
| Preferred Health Plan Contracted [320522] | $3,116 | 874% |
| Private Health Care Systems Contracted [320320] | $3,116 - $3,356 | 874% |
| Tri State Healthcare Coalition Contracted [320379] | $3,116 | 874% |
| Multiplan Contracted [320270] | $3,356 - $4,315 | 942% |
| Preferred Community Choice Contracted [320311] | $3,643 | 1022% |
| Centralink Contracted [320480] | $4,794 | 1345% |