CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Alliancehealth Madill

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,084
  • Cash Discount Price: $3,474
  • vs. Medicare Baseline: 5.85x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Alliancehealth Madill is $2,084. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,474. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.85x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$3,474

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,084

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: $3,474 (975%)
Insurance Median: $2,084 (585%)
Cash: $3,474 (975% of Medicare)
Ins. Median: $2,084 (585% 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 585% of the Medicare baseline (a markup of 485%). 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 $254 - $7,941 71%
Humana $254 - $2,051 71%
Medicaid / KanCare $254 71%
Node Us Dept Of Labor $477 134%
Blue Cross Blue Shield $637 - $2,113 179%
Ok Work Comp $641 180%
Healthchoice $804 226%
Preferred Community Choice Ppo $1,489 418%
UnitedHealthcare $1,508 - $2,084 423%
Medicare (plans) $2,051 575%
Node Global Health Mcr Adv $2,051 575%
Node Indian Health Service Managed Care $2,084 585%
Node Va $2,084 - $4,794 585%
Node Champva $2,146 602%
Tricare $2,146 602%
Self Pay $3,474 975%
Coventry $4,963 1392%
Globalhealth $6,154 1727%
Healthcare Highways $6,205 1741%
Phcs $6,948 1949%
Multiplan $7,444 - $7,742 2088%
First Health $8,139 2283%
Cigna $8,437 2367%
Evolutions Healthcare Systems $8,437 2367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals