CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Harper County Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,498
Cash Discount Price: $1,439
vs. Medicare Baseline: 4.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Harper County Community Hospital is $1,498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,439. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.20x the Medicare baseline. Located in 1003 Us Highway 64 North, Buffalo, OK.

Cash / Self-Pay

$1,439

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,498

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: $1,439 (404%)

Insurance Median: $1,498 (420%)

Cash: $1,439 (404% of Medicare)

Ins. Median: $1,498 (420% 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 420% of the Medicare baseline (a markup of 320%). 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
Blue Cross Blue Shield	$912 - $1,498	256%
Cigna	$1,284	360%
UnitedHealthcare	$1,401 - $1,528	393%
Va Ccn Op/Profee Only-All Plans	$1,401	393%
Healthchoice Op/Profee Only-All Plans	$1,438	403%
Provider Network Of America Op/Profee Only-All Pla	$1,618	454%
Aetna	$1,798	504%
Humana	$1,798	504%
Ok Complete Health Mcaid Op/Profee Only	$1,798	504%
Ok Complete Health Comm Op/Profee Only-All Other P	$1,821	511%
Medicare (plans)	$1,891	531%

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 $1,439.
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 Harper County Community Hospital 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.