CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ascension St John Sapulpa

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$473
about 1.9× the $244 Medicare rate · typically $185–$1,658
modeled estimate · not a bill or quote
What this hospital charges insurers
$386
Below the fair price — a good deal
about $87 under the fair price · 1.6× Medicare
Medicare pays $244 Fair price $473 This hospital $386 Cash price $921 Hospital's list price $2,489

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $386

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $473 (about 1.9× the $244 Medicare rate). Ascension St John Sapulpa charges insurers about $386, or about $921 in cash — below the fair price — a good deal. Located in Sapulpa, OK.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $386 - $414 158%
Aetnamajor $115 47%

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Facility Profile & Credentials

  • Address: 1004 East Bryan, Sapulpa, OK 74066
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals