CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Kingman Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $398
Cash Discount Price: $2,113
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Kingman Regional Medical Center is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,113. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.12x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$2,113

Average discount available for prompt cash payment at this facility.

Insurance Median

$398

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: $2,113 (593%)

Insurance Median: $398 (112%)

Cash: $2,113 (593% of Medicare)

Ins. Median: $398 (112% 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.

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
UnitedHealthcare	$60 - $931	17%
Health Choice Generations	$83 - $372	23%
Hpn Sierra Nevada Mcr Adv	$83 - $372	23%
Medicare (plans)	$83 - $372	23%
Triwest - All Plans	$83 - $372	23%
Care 1St Mcr Adv-All Other Plans	$87 - $391	24%
Humana	$87 - $7,979	24%
Mercy Care Adv Snp-All Other Plans	$91 - $410	26%
Geo Group Chc Az State Prison-All Plans	$124 - $558	35%
Aetna	$128 - $7,187	36%
Health Plan Of Nevada-All Other Plans	$128 - $7,024	36%
Health Choice Hie Exchange	$141 - $9,318	40%
Multiplan-All Plans	$141 - $9,318	40%
Health Choice- All Other Plans	$207 - $931	58%
Apipa - Ahcccs-All Other Plans	$313 - $11,648	88%
Care 1St Mcaid	$313 - $12,230	88%
Health Choice Az	$313 - $11,648	88%
Mercy Care Ahcccs Ddd	$345 - $12,813	97%
Three Rivers-All Plans	$392 - $10,716	110%
America'S Choice Provider Network-All Plans	$405 - $11,066	114%
Az Foundation-All Plans	$426 - $11,648	120%
Mediversal-All Plans	$426 - $11,648	120%
One Health Plan-All Plans	$426 - $11,648	120%
Universal Health-All Plans	$426 - $11,648	120%
Blue Cross Blue Shield	$515 - $6,639	144%
Cigna	$536 - $10,483	150%

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 $2,113.
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 Kingman Regional Medical Center 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.