CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint John Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $335
  • Cash Discount Price: $328
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint John Hospital is $335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $328. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.94x the Medicare baseline. Located in 3500 South 4Th Street, Leavenworth, KS.
Cash / Self-Pay
$328

Average discount available for prompt cash payment at this facility.

Insurance Median
$335

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: $328 (92%)
Insurance Median: $335 (94%)
Cash: $328 (92% of Medicare)
Ins. Median: $335 (94% 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.

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
Medicaid / KanCare $207 58%
Blue Cross Blue Shield $228 - $480 64%
UnitedHealthcare $313 - $460 88%
Celtic $319 - $526 89%
Healthy Blue $319 - $345 89%
Comp Alliance Workers Comp $324 91%
Tricare $329 92%
Medicare (plans) $329 92%
Cigna $329 92%
Aetna $329 - $555 92%
Midland Care Connection $329 92%
Kansas Superior Select $335 94%
Oha Networks $349 98%
Worker Compensation $360 101%
Corizon $460 129%
Well Path $460 129%
Employer Direct Healthcare $460 129%
Centurion $493 138%
Naphcare $509 143%

Consumer Guidance & Cost Commentary

For the CT scan of the abdomen and pelvis with contrast at Saint John Hospital in Leavenworth, KS, the facility's cash median rate is $328.00, which is significantly lower than the state average of $3146.00. While commercial insurance plans like Blue Cross Blue Shield and UnitedHealthcare negotiate rates ranging from $228 to $555, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated ceiling can be substantially higher than the self-pay amount. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket may result in immediate savings if your insurance has not yet covered the service.

To maximize potential savings, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payment. These discounts bypass the administrative costs associated with insurance claims processing and are legally required to be offered uniformly. Additionally, while the facility's Medicare benchmark rate is $356.43, commercial rates generally average between 200% and 300% of this baseline, making the cash price a more transparent and often lower benchmark for comparison. Consumers should request a detailed, itemized bill before finalizing payment to ensure no errors or unbundled charges are included, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written audit.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 South 4Th Street, Leavenworth, KS 66048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals