CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: PAM Specialty Hospital of Tulsa

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,847
Cash Discount Price: $7,796
vs. Medicare Baseline: 16.40x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at PAM Specialty Hospital of Tulsa is $5,847. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,796. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.40x the Medicare baseline. Located in 3219 S 79Th East Ave, Tulsa, OK.

Cash / Self-Pay

$7,796

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,847

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: $7,796 (2187%)

Insurance Median: $5,847 (1640%)

Cash: $7,796 (2187% of Medicare)

Ins. Median: $5,847 (1640% 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 1640% of the Medicare baseline (a markup of 1540%). 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
America'S Choice	$5,457	1531%
Provider Network Of America	$5,847	1640%
Quik Trip	$5,847	1640%
Usa Managed Care Organization	$5,847	1640%
Velocity Provider Ppo Network	$5,847	1640%
Multiplan/Phcs	$6,237	1750%
Prime Health Services	$6,627	1859%
Medincrease	$7,017	1969%

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 $7,796.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm PAM Specialty Hospital of Tulsa is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.