CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $935
Cash Discount Price: $1,339
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Oklahoma Heart Hospital, LLC is $935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,339. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.62x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.

Cash / Self-Pay

$1,339

Average discount available for prompt cash payment at this facility.

Insurance Median

$935

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: $1,339 (376%)

Insurance Median: $935 (262%)

Cash: $1,339 (376% of Medicare)

Ins. Median: $935 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Aetna	$178 - $336	50%
Humana	$178 - $2,640	50%
Blue Cross Blue Shield	$336 - $935	94%
Cigna	$336 - $2,678	94%
Medicare (plans)	$336 - $346	94%
UnitedHealthcare	$336 - $356	94%
Va Ccn	$336	94%
Veterans Eval Services	$336	94%
Coventry	$337	95%
Geha	$356	100%
Ambetter / Centene	$470	132%
Community Care	$671 - $2,678	188%
The Kempton Group	$839	235%
Healthcare Highways	$956 - $2,295	268%
Healthscope	$1,760	494%
Oscar Insurance Company	$1,760	494%
Webtpa Chickasaw Nation Hch	$1,798	504%
Webtpa Hobby Lobby Hch	$2,027	569%
Global Health	$2,410	676%
Sana Benefits	$2,487	698%
Ufcw	$2,487	698%
First Health Network	$2,640	741%
Manhattan Life	$2,640	741%
Phcs	$2,678	751%
Preferred Community Choice	$2,907	816%
Multiplan	$3,443	966%

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 $1,339.
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 Oklahoma Heart Hospital, LLC 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.