CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Oklahoma Surgical Hospital, LLC

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$488

about 1.4× the $356 Medicare rate · typically $291–$686

modeled estimate · not a bill or quote

What this hospital charges insurers

$474

About the fair price

about $14 under the fair price · 1.3× Medicare

Medicare pays $356 Fair price $488 This hospital $474 Hospital's list price $925

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $178 Priciest $474

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $488 (about 1.4× the $356 Medicare rate). Oklahoma Surgical Hospital, LLC charges insurers about $474 — about the fair price. Located in Tulsa, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$537	151%
Blue Cross Blue Shieldmajor	$474	133%
Aetnamajor	$275 - $509	77%
Cignamajor	$448 - $600	126%
Humanamajor	$340 - $550	95%
Healthcare Highways	$451 - $462	127%
+ 3 smaller / regional plans	$340 - $597

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Oklahoma Surgical Hospital, LLC is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Oklahoma Surgical Hospital, LLC

Compare: CT scan, abdomen and pelvis (with contrast) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.