CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,841
Cash Discount Price: $2,137
vs. Medicare Baseline: 5.17x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Watonga, Inc is $1,841. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,137. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.17x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.

Cash / Self-Pay

$2,137

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,841

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: $2,137 (600%)

Insurance Median: $1,841 (517%)

Cash: $2,137 (600% of Medicare)

Ins. Median: $1,841 (517% 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 517% of the Medicare baseline (a markup of 417%). 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	$189 - $2,505	53%
Humana	$189 - $1,258	53%
Medicaid / KanCare	$189 - $986	53%
Health Choice Contracted [320166]	$804	226%
Ambetter / Centene	$986	277%
Home State Health Plan Contracted [320187]	$986	277%
Novasys Contracted [320285]	$986	277%
Blue Cross Blue Shield	$1,258 - $1,972	353%
Cherokee Nation Health Serv Contracted [320066]	$1,258	353%
Cross Timbers Hospice [20098]	$1,258	353%
Dept Of Veteran Affairs Contracted [320106]	$1,258	353%
Elara Caring Aspire Hospice Contracted [320433]	$1,258	353%
Elara Caring Aspire Hospice [20433]	$1,258	353%
Halo Hcr Inc Hospice Contracted [320432]	$1,258	353%
Halo Hcr Inc Hospice [20432]	$1,258	353%
Independent Health [20197]	$1,258	353%
Indian Health Service Contracted [320198]	$1,258	353%
Kindful Hospice Contracted [320434]	$1,258	353%
Kindful Hospice [20434]	$1,258	353%
Medical Associates Health [20444]	$1,258	353%
Medicare (plans)	$1,258 - $1,841	353%
Mercy Hospice Okc [20252]	$1,258	353%
Provider Partners Health Plans Contracted [320450]	$1,258	353%
Qual Choice Contracted [320325]	$1,258	353%
Tribute Health Plan Mcr Contracted [320338]	$1,258	353%
Tricare	$1,258	353%
UnitedHealthcare	$1,258 - $2,603	353%
Globalhealth Contracted [320145]	$1,283	360%
Cigna	$1,295 - $2,794	363%
Webtpa Contracted [320417]	$1,381	387%
Medica Contracted [320239]	$1,841	517%
Aither Health Contracted [320449]	$1,972 - $2,794	553%
Mercy Benefit Admin Contracted [320251]	$1,972 - $2,794	553%
Quik Trip Contracted [320447]	$1,972	553%
Show-Me Health Administrators Contracted [320483]	$1,972	553%
Benefit Management Contracted [320052]	$2,137 - $2,465	600%
Healthsmart Accel Contracted [320183]	$2,301	646%
Osma Health Contracted [320292]	$2,301	646%
Healthcare Highways Plus Contracted [320175]	$2,465	692%
Preferred Community Choice Contracted [320311]	$2,465	692%
Private Health Care Systems Contracted [320320]	$2,465 - $2,630	692%
United Medical Resources Contracted [320454]	$2,603	730%
Multiplan Contracted [320270]	$2,630 - $2,958	738%
First Health Contracted [320128]	$2,666	748%
Auxiant Contracted [320462]	$2,794	784%
Ebms Contracted [320493]	$2,794	784%
Healthlink Contracted [320179]	$2,794	784%
Healthsmart Preferred Care Contracted [320184]	$2,794	784%
Imagine 360 Contracted [320494]	$2,794	784%
Reflect Health Contracted [320492]	$2,794	784%
Yuzu Health Contracted [320521]	$2,794	784%

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 $2,137.
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 Mercy Hospital Watonga, Inc 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.