CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ascension St John Broken Arrow

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$329
about 1.3× the $244 Medicare rate · typically $128–$498
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
Below the fair price — a good deal
about $214 under the fair price · 0.5× Medicare
Medicare pays $244 Fair price $329 This hospital $115 Cash price $921 Hospital's list price $2,489

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

On the higher side — 6 of 8 other OK hospitals charge less.

Cheapest $85 Priciest $214

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $329 (about 1.3× the $244 Medicare rate). Ascension St John Broken Arrow charges insurers about $115, or about $921 in cash — below the fair price — a good deal. Located in Broken Arrow, OK.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $115 47%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1000 West Boise Circle, Broken Arrow, OK 74012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals