CT scan, abdomen and pelvis (with contrast)
Facility: University Of Kansas Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $5,997
- Cash Discount Price: $1,861
- vs. Medicare Baseline: 16.83x 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 1683% of the Medicare baseline (a markup of 1583%). 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 |
|---|---|---|
| Devoted [503200068] | $326 | 91% |
| Ku Athletics [503200094] | $326 | 91% |
| Workers Comp [503999901] | $326 - $9,405 | 91% |
| Tricare | $326 | 91% |
| UnitedHealthcare | $326 - $521 | 91% |
| Humana | $326 - $332 | 91% |
| Aetna | $326 - $456 | 91% |
| Triwest [503201703] | $326 | 91% |
| Lasso Healthcare [503999926] | $326 | 91% |
| Medicare (plans) | $326 - $332 | 91% |
| Blue Cross Blue Shield | $335 - $7,598 | 94% |
| Allwell [503200078] | $335 | 94% |
| American Health Plans [503200968] | $342 | 96% |
| Oscar [503201609] | $391 | 110% |
| Centurion [5032000966] | $423 | 119% |
| Wellfit [503301514] | $537 | 151% |
| Centivo [5032000982] | $537 | 151% |
| Ambetter / Centene | $554 | 155% |
| 6 Degrees Health [503999050] | $570 - $814 | 160% |
| Alt Wppa [5032000964] | $651 - $5,997 | 183% |
| Occunet [503999930] | $684 | 192% |
| Fort Hays State Student Athletes [5032000960] | $684 | 192% |
| Claimdoc [503301509] | $879 | 247% |
| Multiplan [503200057] | $879 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $977 | 274% |
| Larned State Hospital [503200090] | $2,570 - $2,920 | 721% |
| Health Plan Inc [503999941] | $4,094 - $4,653 | 1149% |
| Accarent Health [503999034] | $4,356 - $4,950 | 1222% |
| Alt Carelon Behavioral Health [503200905] | $4,356 - $4,950 | 1222% |
| Php [503200005] | $5,227 - $7,316 | 1466% |
| Allied National [503999937] | $5,227 - $5,940 | 1466% |
| Inter-Americas Insurance [503999032] | $5,277 - $5,997 | 1481% |
| Cerner [503200038] | $5,277 - $5,997 | 1481% |
| Healthlink [503200007] | $5,277 - $7,316 | 1481% |
| Geha [503200036] | $5,277 - $5,997 | 1481% |
| Med-Pay [503200040] | $5,277 - $5,997 | 1481% |
| First Health [5032000110] | $5,741 - $6,524 | 1611% |
| Aha-Healthcare Preferred [503200050] | $5,741 - $6,524 | 1611% |
| Coeur Plan Services [503301517] | $6,098 - $6,930 | 1711% |
| Consolidated Billing [50311256] | $6,098 - $6,930 | 1711% |
| Correct Care Solutions [50311253] | $6,098 - $6,930 | 1711% |
| Ascension Living Hope [503201517] | $6,098 - $6,930 | 1711% |
| Orscheln Industries [503201608] | $6,533 - $7,425 | 1833% |
| Alt Lucent Health Solutions [503202603] | $6,686 - $7,598 | 1876% |
| Alt Lineco [5032000976] | $6,686 - $7,598 | 1876% |
| Empire Plan/Nyship [503200705] | $6,686 - $7,598 | 1876% |
| Quiktrip [5032000412] | $6,969 - $7,920 | 1955% |
| Cigna | $6,969 - $7,920 | 1955% |
| Point Comfort Underwriters [503200018] | $6,969 - $7,920 | 1955% |
| Century Health Solutions [503200054] | $6,969 - $7,920 | 1955% |
| Meritain Health [503200039] | $7,317 - $8,316 | 2053% |
| Wppa [503200056] | $7,317 - $8,316 | 2053% |
| Sanford Health Plan [503999027] | $7,840 - $8,910 | 2200% |
| Plan Care America [503999026] | $7,840 - $8,910 | 2200% |
| Usa Managed Care [503999030] | $7,840 - $8,910 | 2200% |
| Three Rivers Provider Network [503999029] | $7,840 - $8,910 | 2200% |
| Employers Health Network [503999025] | $7,840 - $8,910 | 2200% |
Consumer Guidance & Cost Commentary
The cash price for a CT scan of the abdomen and pelvis at University Of Kansas Hospital is $1,861, which is significantly lower than the gross charge of $9,306 and represents a substantial discount compared to the facility's standard billing list. For patients with high-deductible plans, paying this cash price upfront may be more cost-effective than relying on insurance, as the facility's median negotiated rate of $5,997 exceeds the cash amount. Additionally, the cash rate is lower than the state average of $1,861, offering a competitive option for self-pay patients who can afford to settle the bill immediately without waiting for insurance adjudication.
While the facility's Medicare benchmarking rate of $356.43 serves as the federal baseline for this service, commercial insurance plans pay much higher rates due to administrative costs and contract structures. The median negotiated rate of $5,997 is notably higher than the cash price, illustrating how administrative overhead can inflate commercial rates. Patients should verify their specific plan's allowed amount, as rates vary widely among payers; for instance, Blue Cross Blue Shield has a high of $7,598 while Devoted pays exactly $326. To minimize costs, patients are encouraged to request a prompt-pay discount or self-pay classification before scheduling, ensuring they do not inadvertently trigger balance billing or accept summary bills that obscure the true line-item charges.