CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Stillwater Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,650
Cash Discount Price: $5,839
vs. Medicare Baseline: 10.24x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Stillwater Medical Center is $3,650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,839. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.24x the Medicare baseline. Located in 1323 West 6Th Street, Stillwater, OK.

Cash / Self-Pay

$5,839

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,650

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: $5,839 (1638%)

Insurance Median: $3,650 (1024%)

Cash: $5,839 (1638% of Medicare)

Ins. Median: $3,650 (1024% 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 1024% of the Medicare baseline (a markup of 924%). 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
Tricare	$364	102%
Veterans Administration	$364	102%
Healthcare Highways	$637	179%
Coventry	$800	224%
Healthchoice	$824	231%
Ebms (Employee Benefit Management Services Inc.)	$873	245%
Blue Cross Blue Shield	$978	274%
Aetna	$3,650	1024%
Cigna	$3,722	1044%
Community Care	$4,744	1331%
UnitedHealthcare	$4,890	1372%
First Health	$6,204	1741%
Osma Health	$6,423	1802%
Multiplan	$6,569	1843%
Preferred Community Choice	$6,569	1843%

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 $5,839.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Stillwater Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.