CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy Hospital Logan County

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,719
  • Cash Discount Price: $1,862
  • vs. Medicare Baseline: 4.82x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital Logan County is $1,719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,862. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.82x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$1,862

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,719

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: $1,862 (522%)
Insurance Median: $1,719 (482%)
Cash: $1,862 (522% of Medicare)
Ins. Median: $1,719 (482% 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 482% of the Medicare baseline (a markup of 382%). 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
Aetna $189 - $1,682 53%
Humana $189 - $731 53%
Medicaid / KanCare $189 - $860 53%
Tricare $710 199%
Blue Cross Blue Shield $731 - $1,375 205%
Cherokee Nation Health Serv Contracted [320066] $731 205%
Cross Timbers Hospice [20098] $731 205%
Dept Of Veteran Affairs Contracted [320106] $731 205%
Elara Caring Aspire Hospice Contracted [320433] $731 205%
Elara Caring Aspire Hospice [20433] $731 205%
Halo Hcr Inc Hospice Contracted [320432] $731 205%
Halo Hcr Inc Hospice [20432] $731 205%
Independent Health [20197] $731 205%
Indian Health Service Contracted [320198] $731 205%
Kindful Hospice Contracted [320434] $731 205%
Kindful Hospice [20434] $731 205%
Medical Associates Health [20444] $731 205%
Medicare (plans) $731 - $1,432 205%
Mercy Hospice Okc [20252] $731 205%
Provider Partners Health Plans Contracted [320450] $731 205%
Qual Choice Contracted [320325] $731 205%
Tribute Health Plan Mcr Contracted [320338] $731 205%
UnitedHealthcare $731 - $2,006 205%
Globalhealth Contracted [320145] $745 209%
Cigna $754 - $2,435 212%
Health Choice Contracted [320166] $804 226%
Ambetter / Centene $860 241%
Home State Health Plan Contracted [320187] $860 241%
Novasys Contracted [320285] $860 241%
Webtpa Contracted [320417] $1,203 338%
Medica Contracted [320239] $1,432 402%
Aither Health Contracted [320449] $1,719 - $2,435 482%
Auxiant Contracted [320462] $1,719 - $2,435 482%
Federal Medical Center Contracted [320127] $1,719 482%
Healthlink Contracted [320179] $1,719 - $2,435 482%
Healthscope Contracted [320182] $1,719 482%
Mercy Benefit Admin Contracted [320251] $1,719 - $2,435 482%
Point C Contracted [320238] $1,719 482%
Preferred Health Plan Contracted [320522] $1,719 482%
Quik Trip Contracted [320447] $1,719 482%
Show-Me Health Administrators Contracted [320483] $1,719 482%
United Medical Resources Contracted [320454] $1,719 - $2,006 482%
Community Care Contracted [320080] $2,006 563%
Osma Health Contracted [320292] $2,006 563%
United Behavioral Health Contracted [320390] $2,006 563%
Benefit Management Contracted [320052] $2,149 - $2,578 603%
Globalhealth Contracted [320144] $2,149 603%
Healthcare Highways Plus Contracted [320175] $2,149 603%
Private Health Care Systems Contracted [320320] $2,149 - $2,292 603%
First Health Contracted [320128] $2,240 628%
Multiplan Contracted [320270] $2,292 - $2,578 643%
Ebms Contracted [320493] $2,435 683%
Imagine 360 Contracted [320494] $2,435 683%
Preferred Community Choice Contracted [320311] $2,435 683%
Reflect Health Contracted [320492] $2,435 683%
Yuzu Health Contracted [320521] $2,435 683%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 S Academy Rd, Guthrie, OK 73044
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals