CT scan, abdomen and pelvis (with contrast)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,659
- Cash Discount Price: $1,214
- vs. Medicare Baseline: 4.65x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 465% of the Medicare baseline (a markup of 365%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Black Lung [6055] | $1,659 | 465% |
| Web Tpa [2115] | $1,659 | 465% |
| Oncology Patient Assistance Programs [2295] | $1,659 | 465% |
| Lucent Health [6000] | $1,659 | 465% |
| Blue Cross Blue Shield | $1,659 | 465% |
| Hooray Health [8000] | $1,659 | 465% |
| Aetna | $1,659 | 465% |
| Healthcare Highways [2210] | $1,659 | 465% |
| Department Of Corrections [1340] | $2,023 | 568% |
| Healthpartners [1500] | $2,339 | 656% |
| National Association Of Letter Carriers [1695] | $2,339 | 656% |
| Cigna | $2,339 | 656% |
| American Postal Workers Union [1070] | $2,339 | 656% |
| Humana | $2,388 | 670% |
| Multiplan [1680] | $3,144 | 882% |
| First Health [1375] | $3,144 | 882% |
| American Healthcare [1055] | $3,144 | 882% |
| Administrative Concepts [1005] | $3,144 | 882% |
| Coventry Healthcare [1320] | $3,319 | 931% |
| Ks Disability Determination [6090] | $4,047 | 1135% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at the University of Kansas Health System - St Francis Campus, the facility's cash price is $1,214, which is significantly lower than the state average of $4,047. While the facility's negotiated rates with insurance plans average $1,659, this amount remains below the gross charge of $4,047 but higher than the cash option. Patients with high-deductible plans or those without insurance may find the cash price most beneficial, as paying upfront avoids the administrative fees and markup associated with insurance billing. It is important to note that while the facility is a voluntary non-profit church-owned hospital, the cash rate does not guarantee the lowest possible cost; patients should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service.
The Medicare benchmark for this procedure is $356.43, meaning the facility's cash rate of $1,214 represents a markup of 4.7 times the Medicare amount. This comparison highlights that commercial negotiated rates often exceed fair pricing benchmarks due to administrative costs and contract dynamics. To ensure you are not overcharged, request an itemized billing audit that breaks down every CPT code and unit cost, as summary bills often obscure errors or unbundled charges. If you receive a bill that appears inflated, dispute it in writing with the billing supervisor rather than accepting the summary total, and verify your insurance status to avoid unexpected balance billing, which is largely prohibited for emergency care under the No Surprises Act.