CT scan, abdomen and pelvis (with contrast)
Facility: Pratt Regional Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,912
- Cash Discount Price: $2,450
- vs. Medicare Baseline: 8.17x 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 817% of the Medicare baseline (a markup of 717%). 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 |
|---|---|---|
| Celtic Insurance Company | $356 | 100% |
| Healthy Blue | $367 | 103% |
| UnitedHealthcare | $392 - $3,570 | 110% |
| Christian Health Aid | $2,625 | 736% |
| Health Partners Of Kansas | $2,975 | 835% |
| Aetna | $3,150 | 884% |
| Choicecare | $3,500 | 982% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Pratt Regional Medical Center in Pratt, Kansas, the cash median price is $2,450. This cash rate is significantly lower than the facility's negotiated rates, which range from $356 for Celtic Insurance Company up to $3,150 for Aetna, and even lower than the gross charge of $3,500. While the facility's negotiated rates are higher than the cash price, patients with high-deductible plans may find the cash option more cost-effective if their insurance allowed amount exceeds the cash rate. It is important to note that the facility's cash price is well below the state average for this procedure, offering a clear opportunity for savings if you choose to pay directly.
When comparing this service to federal benchmarks, the Medicare amount for this code is $356.43, which serves as a baseline for evaluating commercial pricing. The facility's cash rate of $2,450 represents a markup of 8.2 times the Medicare amount, which is notably higher than the typical fair pricing range of 120% to 150% of Medicare. However, because the cash price remains lower than most commercial negotiated rates listed for this facility, paying out-of-pocket may result in a lower total cost than relying on insurance coverage. To ensure you receive the best possible rate, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if you settle the account in full upfront.