CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jefferson County Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,463
  • Cash Discount Price: $1,720
  • vs. Medicare Baseline: 9.72x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Jefferson County Hospital is $3,463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,720. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.72x the Medicare baseline. Located in Intersection Hyws 81 & 70, Waurika, OK.
Cash / Self-Pay
$1,720

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,463

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: $1,720 (483%)
Insurance Median: $3,463 (972%)
Cash: $1,720 (483% of Medicare)
Ins. Median: $3,463 (972% 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 972% of the Medicare baseline (a markup of 872%). 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 - $1,779 318%
Medica $1,978 - $2,139 555%
Healthcare Highways $2,072 - $3,310 581%
Humana $2,543 - $2,750 713%
Friday Health Plan $2,746 - $2,970 770%
UnitedHealthcare $3,202 - $3,463 898%
Oklahoma Health Network (Ohn) $3,767 - $4,074 1057%
Aetna $4,003 - $4,329 1123%
Coventry $4,003 - $4,329 1123%
Cigna $4,238 - $4,584 1189%
First Health $4,238 - $4,584 1189%
Osma Health $4,238 - $4,584 1189%
Preferred Community Choice $4,332 - $4,686 1215%
Healthsmart $4,426 - $4,787 1242%

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