CT scan, abdomen and pelvis (with contrast)
Facility: Stormont Vail Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $319
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.89x 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 |
|---|---|---|
| UnitedHealthcare | $73 - $319 | 20% |
| Ambetter / Centene | $73 - $319 | 20% |
| Blue Cross Blue Shield | $73 - $1,299 | 20% |
| Humana | $321 - $329 | 90% |
| Aetna | $321 - $329 | 90% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Stormont Vail Hospital in Topeka, KS, the facility's negotiated rate of $319 is significantly lower than the gross charge of $5,610, reflecting standard commercial pricing protections. While the facility's negotiated rate of $319 is slightly higher than the state average of $320, it remains well below the gross charge, offering a transparent price point for in-network members. For patients with high-deductible plans, paying the cash price may be more cost-effective if the insurance negotiated rate exceeds the cash price, though cash rates were not reported for this service. Patients are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce out-of-pocket costs before scheduling.
This procedure's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $356.43 for this code. The facility's negotiated rate of $319 is approximately 89% of the Medicare amount, indicating a pricing structure that aligns closely with the federal baseline rather than the inflated chargemaster list. When reviewing your bill, it is crucial to request an itemized statement to verify that no unbundled codes or services not rendered have been charged, as summary bills often obscure these errors. If you receive a large bill after using insurance, you should dispute any balance billing immediately, as the No Surprises Act prohibits providers from charging you for the difference between their full rate and what your insurance allowed, particularly for services at in-network facilities.