CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mcpherson Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $321
  • Cash Discount Price: $1,628
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mcpherson Hospital is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,628. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.90x the Medicare baseline. Located in 1000 Hospital Drive, Mcpherson, KS.
Cash / Self-Pay
$1,628

Average discount available for prompt cash payment at this facility.

Insurance Median
$321

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: $1,628 (457%)
Insurance Median: $321 (90%)
Cash: $1,628 (457% of Medicare)
Ins. Median: $321 (90% 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
UnitedHealthcare $68 - $3,685 19%
Tricare $70 - $282 20%
Ambetter / Centene $80 - $369 22%
Blue Cross Blue Shield $80 - $321 22%
Wellcare Mcr Adv - All Plans $80 - $321 22%
Humana $80 - $321 22%
Va Ccn - All Plans $80 - $321 22%
Aetna $80 - $3,685 22%
Healthy Blue Mcr Adv $80 - $321 22%
Multiplan - All Plans $99 - $3,316 28%
Medicaid / KanCare $252 - $3,685 71%
Health Blue Mcaid - All Other Plans $257 - $3,759 72%
Central Plains - All Plans $536 - $2,764 150%
Medical Associates - All Plans $536 - $2,764 150%
Health Partners - All Plans $678 - $3,501 190%
Cigna $678 - $3,501 190%
Wppa - All Plans $2,580 724%
Christian Health Aid - All Plans $2,948 827%
First Health - All Plans $3,501 982%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis with contrast at Mcpherson Hospital, the cash price is $1,628, which is lower than the facility's gross charge of $2,200 but higher than the state average of $1,628. While many insurance plans negotiate rates ranging from $68 to $3,759, the cash rate can be a more affordable option for patients with high-deductible plans or those without coverage, as the negotiated amounts often exceed the cash price. Patients should verify their specific plan's deductible status before scheduling, as paying out-of-pocket may result in immediate savings compared to the administrative costs and potential balance billing associated with insurance claims.

To ensure you receive the most accurate pricing, it is recommended to request a prompt-pay discount or self-pay rate directly from the hospital before check-in, as these upfront payments can reduce the final bill by 20% to 50%. If you have already received an invoice, you should request a full itemized CPT-coded statement to review every charge for errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. If you encounter a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, which bans surprise billing for emergency care and non-emergency services at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Hospital Drive, Mcpherson, KS 67460
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals