CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Pawhuska Hospital, Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,923
Cash Discount Price: $2,307
vs. Medicare Baseline: 8.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Pawhuska Hospital, Inc is $2,923. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,307. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.20x the Medicare baseline. Located in 1101 East 15Th Street, Pawhuska, OK.

Cash / Self-Pay

$2,307

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,923

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: $2,307 (647%)

Insurance Median: $2,923 (820%)

Cash: $2,307 (647% of Medicare)

Ins. Median: $2,923 (820% 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 820% of the Medicare baseline (a markup of 720%). 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
Healthchoice Ip/Op Only - All Plans	$859	241%
Community Care Comm - All Plans	$891	250%
Blue Cross Blue Shield	$2,076 - $3,381	582%
Aetna	$2,307 - $3,977	647%
Tricare	$2,307	647%
UnitedHealthcare	$2,307 - $2,863	647%
Wellcare Mcr Adv - All Plans	$2,307	647%
Humana	$2,330 - $3,977	654%
Healthcare Highways - All Plans	$2,585	725%
Cigna	$2,704	759%
Multiplan - All Plans	$2,983	837%
Ambetter / Centene	$3,460	971%
Preferred Commchoice Ip/Op Only - All Plans	$3,579	1004%
Soonerselect Mcaid - All Plans	$3,977	1116%

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 $2,307.
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 Pawhuska Hospital, 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.