CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jefferson County Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,202
  • Cash Discount Price: $1,554
  • vs. Medicare Baseline: 13.14x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Jefferson County Hospital is $3,202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,554. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.14x the Medicare baseline. Located in Intersection Hyws 81 & 70, Waurika, OK.
Cash / Self-Pay
$1,554

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,202

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,554 (637%)
Insurance Median: $3,202 (1314%)
Cash: $1,554 (637% of Medicare)
Ins. Median: $3,202 (1314% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1314% of the Medicare baseline (a markup of 1214%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $1,133 - $1,779 465%
Medica $1,741 - $1,978 714%
Healthcare Highways $1,824 - $3,061 748%
Humana $2,239 - $2,543 918%
Friday Health Plan $2,418 - $2,746 992%
UnitedHealthcare $2,819 - $3,202 1156%
Oklahoma Health Network (Ohn) $3,317 - $3,767 1361%
Aetna $3,524 - $4,003 1446%
Coventry $3,524 - $4,003 1446%
Cigna $3,731 - $4,238 1531%
First Health $3,731 - $4,238 1531%
Osma Health $3,731 - $4,238 1531%
Preferred Community Choice $3,814 - $4,332 1565%
Healthsmart $3,897 - $4,426 1599%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Intersection Hyws 81 & 70, Waurika, OK 73573
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals