CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Alliancehealth Madill

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,399
Cash Discount Price: $2,300
vs. Medicare Baseline: 5.74x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Alliancehealth Madill is $1,399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,300. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.74x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.

Cash / Self-Pay

$2,300

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,399

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: $2,300 (944%)

Insurance Median: $1,399 (574%)

Cash: $2,300 (944% of Medicare)

Ins. Median: $1,399 (574% 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 574% of the Medicare baseline (a markup of 474%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$156 - $5,257	64%
Humana	$156 - $1,358	64%
Medicaid / KanCare	$156	64%
Node Us Dept Of Labor	$291	119%
Ok Work Comp	$409	168%
Healthchoice	$544	223%
Blue Cross Blue Shield	$637 - $1,399	261%
Preferred Community Choice Ppo	$986	404%
Medicare (plans)	$1,358	557%
Node Global Health Mcr Adv	$1,358	557%
UnitedHealthcare	$1,358 - $1,508	557%
Node Indian Health Service Managed Care	$1,380	566%
Node Va	$1,380 - $3,174	566%
Node Champva	$1,421	583%
Tricare	$1,421	583%
Self Pay	$2,300	944%
Coventry	$3,286	1348%
Globalhealth	$4,074	1671%
Healthcare Highways	$4,108	1685%
Phcs	$4,600	1887%
Multiplan	$4,928 - $5,125	2022%
First Health	$5,388	2210%
Cigna	$5,585	2291%
Evolutions Healthcare Systems	$5,585	2291%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alliancehealth Madill is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.