CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$131

about 0.5× the $244 Medicare rate · typically $89–$335

modeled estimate · not a bill or quote

What this hospital charges insurers

$89

Below the fair price — a good deal

about $42 under the fair price · 0.4× Medicare

Medicare pays $244 Fair price $131 This hospital $89 Cash price $2,300 Hospital's list price $3,539

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 3 of 8 other OK hospitals charge more for the same procedure.

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 $131 (about 0.5× the $244 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $89, or about $2,300 in cash — below the fair price — a good deal. Located in Healdton, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$972 - $3,185	399%
Blue Cross Blue Shieldmajor	$972 - $1,876	399%
Aetnamajor	$89 - $2,421	37%
Cignamajor	$1,001 - $2,654	411%
Humanamajor	$89 - $972	37%
Ambetter (Centene)	$1,062	436%
Healthcare Highways	$2,654	1089%
HealthLink	$3,008 - $3,185	1234%
Independent Health	$972	399%
Medica	$1,348	553%
+ 38 smaller / regional plans	$548 - $3,185

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,300), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Healdton, Inc. is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Healdton, Inc.

Compare: CT scan, abdomen and pelvis (no contrast) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.