CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Hillcrest Hospital Claremore

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,888
Cash Discount Price: $2,209
vs. Medicare Baseline: 11.85x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Hillcrest Hospital Claremore is $2,888. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,209. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.85x the Medicare baseline. Located in 1202 N Muskogee Place, Claremore, OK.

Cash / Self-Pay

$2,209

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,888

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: $2,209 (906%)

Insurance Median: $2,888 (1185%)

Cash: $2,209 (906% of Medicare)

Ins. Median: $2,888 (1185% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1185% of the Medicare baseline (a markup of 1085%). 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
Black Lung [6055]	$1,840	755%
Healthcare Highways [2210]	$1,840 - $2,901	755%
Hooray Health [8000]	$1,840	755%
Lucent Health [6000]	$1,840	755%
Oncology Patient Assistance Programs [2295]	$1,840	755%
Oscar Insurance Company [7005]	$1,840	755%
Osma Health Network [2345]	$1,840	755%
Healthscope Benefits [2290]	$2,212	907%
UnitedHealthcare	$2,212 - $2,888	907%
Resource One Administrators [2815]	$2,901	1190%
Web Tpa [2115]	$2,901	1190%
Beacon Health Options Behavioral Health [2890]	$3,166	1299%
The Kempton Group Administrators [2905]	$3,313	1359%
Pba [1775]	$3,666	1504%
Medica [2910]	$4,160	1707%

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 $2,209.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hillcrest Hospital Claremore is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.