CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $351
- Cash Discount Price: $3,012
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $189 - $341 | 53% |
| Aetna | $189 - $3,939 | 53% |
| Medicaid / KanCare | $189 - $348 | 53% |
| Blue Cross Blue Shield | $207 - $578 | 58% |
| UnitedHealthcare | $304 - $3,123 | 85% |
| Kindful Hospice [20434] | $341 | 96% |
| Cross Timbers Hospice [20098] | $341 | 96% |
| Halo Hcr Inc Hospice [20432] | $341 | 96% |
| Halo Hcr Inc Hospice Contracted [320432] | $341 | 96% |
| Elara Caring Aspire Hospice [20433] | $341 | 96% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $341 | 96% |
| Mercy Hospice Okc [20252] | $341 | 96% |
| Pace Of The Ozarks Contracted [320518] | $341 | 96% |
| Kindful Hospice Contracted [320434] | $341 | 96% |
| Tricare | $341 | 96% |
| Medicare (plans) | $341 - $355 | 96% |
| Dept Of Veteran Affairs Contracted [320106] | $341 | 96% |
| Ambetter / Centene | $348 | 98% |
| Home State Health Plan Contracted [320187] | $348 | 98% |
| Providrs Care Network Contracted [320484] | $661 | 185% |
| Medica Contracted [320239] | $734 | 206% |
| Health Choice Contracted [320166] | $804 | 226% |
| Cigna | $1,070 - $1,097 | 300% |
| United Medical Resources Contracted [320454] | $3,123 | 876% |
| Healthlink Contracted [320179] | $3,707 | 1040% |
| Yuzu Health Contracted [320521] | $3,707 | 1040% |
| Workers Comp [20426] | $3,707 | 1040% |
| Ebms Contracted [320493] | $3,707 | 1040% |
| Auxiant Contracted [320462] | $3,707 | 1040% |
| Edison Health Solutions Contracted [320502] | $3,707 | 1040% |
| Reflect Health Contracted [320492] | $3,707 | 1040% |
| Mercy Benefit Admin Contracted [320251] | $3,707 | 1040% |
| American Healthcare Alliance Contracted [320020] | $3,707 | 1040% |
| Aither Health Contracted [320449] | $3,707 | 1040% |
| Imagine 360 Contracted [320494] | $3,707 | 1040% |
| First Health Contracted [320128] | $3,939 | 1105% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (with contrast) at Mercy Hospital Pittsburg, Inc, the facility's cash price of $3,012.00 is significantly higher than the state average of $351.00 for the median negotiated rate and the county average of $431.00 for the median paid amount. While commercial payers like Aetna and UnitedHealthcare have negotiated rates ranging from $189 to $3,939, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds $3,012.00. It is important to note that cash-pay rates can sometimes be cheaper for self-insured individuals or those with limited coverage, provided they secure a "self-pay" or "prompt-pay" discount before scheduling to avoid unexpected balance billing.
The facility's pricing is benchmarked against Medicare, which sets a baseline of $356.43 for this procedure, indicating that the cash price represents a substantial markup above the federal cost baseline. Although the facility is a voluntary non-profit church-owned hospital in Pittsburg, KS, and holds a rating of 3, patients should be aware that commercial rates often include administrative overhead that can inflate the final cost. To ensure transparency and avoid errors, consumers are encouraged to request a full itemized bill before paying, as summary bills may obscure unbundled charges or services not rendered. Additionally, if a patient receives care from an out-of-network provider, they may be subject to balance billing, but federal protections under the No Surprises Act may limit these charges for emergency services or non-emergency care at in-network facilities.