CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Duncan Regional Hospital, Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,509
  • Cash Discount Price: $728
  • vs. Medicare Baseline: 9.84x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Duncan Regional Hospital, Inc is $3,509. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.84x the Medicare baseline. Located in 1407 Whisenant Drive, Duncan, OK.
Cash / Self-Pay
$728

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,509

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: $728 (204%)
Insurance Median: $3,509 (984%)
Cash: $728 (204% of Medicare)
Ins. Median: $3,509 (984% 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 984% of the Medicare baseline (a markup of 884%). 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.

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
Humana $364 102%
Friday Health Plan $928 260%
Blue Cross Blue Shield $1,133 - $1,779 318%
Medica $2,267 636%
Healthcare Highways $2,375 - $3,509 666%
UnitedHealthcare $3,671 1030%
Oklahoma Health Network (Ohn) $4,318 1211%
Aetna $4,588 1287%
Coventry $4,588 1287%
Cigna $4,858 1363%
First Health $4,858 1363%
Osma Health $4,858 1363%
Preferred Community Choice $4,966 1393%
Healthsmart $5,074 1424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1407 Whisenant Drive, Duncan, OK 73533
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals