CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: SSM Health St Anthony Hospital - Oklahoma City

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $453
  • Cash Discount Price: $3,708
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at SSM Health St Anthony Hospital - Oklahoma City is $453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,708. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.27x the Medicare baseline. Located in 1000 North Lee Avenue, Oklahoma City, OK.
Cash / Self-Pay
$3,708

Average discount available for prompt cash payment at this facility.

Insurance Median
$453

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: $3,708 (1040%)
Insurance Median: $453 (127%)
Cash: $3,708 (1040% of Medicare)
Ins. Median: $453 (127% 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.

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
Medica $325 91%
Blue Cross Blue Shield $336 - $346 94%
UnitedHealthcare $340 95%
Humana $341 96%
Oscar $441 124%
Ambetter / Centene $453 127%
Community Care $621 - $839 174%
Kempton $654 183%
Healthchoice $714 200%
Global Health $718 - $735 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 North Lee Avenue, Oklahoma City, OK 73101
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals