CT scan, abdomen and pelvis (with contrast)
Facility: Lmh
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $351
- Cash Discount Price: $1,513
- vs. Medicare Baseline: 0.98x 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 | $131 - $4,018 | 37% |
| Humana | $131 - $351 | 37% |
| Cigna | $131 - $4,043 | 37% |
| Medicare (plans) | $131 - $351 | 37% |
| Blue Cross Blue Shield | $153 - $3,915 | 43% |
| Haskell Indian Health Services | $153 - $351 | 43% |
| Ambetter / Centene | $156 - $545 | 44% |
| Allwell | $156 - $358 | 44% |
| Aetna | $1,835 - $5,023 | 515% |
| Non Contracted | $4,841 | 1358% |
| First Health | $5,628 | 1579% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Lmh in Lawrence, KS, the facility's cash median rate is $1,513.00, which is significantly lower than the gross charge of $6,052.00. While the facility is government-owned and holds a 4-star rating, patients should be aware that commercial insurance negotiated rates vary widely by plan; for example, UnitedHealthcare plans range from $131 to $4,018, while Aetna plans range from $1,835 to $5,023. Because commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics, patients with high-deductible plans may find paying the cash median rate directly more cost-effective than relying on insurance, provided they have met their deductible. It is crucial to verify the specific allowed amount for your plan before scheduling, as some in-network contracts can result in higher out-of-pocket costs than self-pay options.
To ensure you are receiving the most accurate pricing, always request an itemized bill rather than accepting a summary invoice, as hospitals may obscure individual code costs in broad categories. If you receive a bill, review it line-by-line to check for unbundled charges or services not rendered, and dispute any errors in writing to avoid unnecessary debt. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total amount owed by 20% to 50% if paid upfront, bypassing the administrative costs associated with insurance claims. Finally, remember that the Medicare benchmark for this service is $356.43; while commercial rates are typically higher, fair pricing generally falls between 12