CT scan, abdomen and pelvis (with contrast)
Facility: Providence Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $345
- Cash Discount Price: $328
- vs. Medicare Baseline: 0.97x 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 |
|---|---|---|
| Aetna | $154 - $555 | 43% |
| Medicaid / KanCare | $207 | 58% |
| UnitedHealthcare | $313 - $624 | 88% |
| Healthy Blue | $319 - $345 | 89% |
| Celtic | $319 - $526 | 89% |
| Comp Alliance - Fka Compresults Worker Compensation | $324 | 91% |
| Tricare | $329 | 92% |
| Midland Care Connection | $329 | 92% |
| Cigna | $329 | 92% |
| Medicare (plans) | $329 | 92% |
| Kansas Superior Select | $345 | 97% |
| Oha Networks | $349 | 98% |
| Worker Compensation | $360 | 101% |
| Corizon | $427 | 120% |
| Employer Direct Healthcare | $460 | 129% |
| Well Path Prison | $460 | 129% |
| Centurion | $493 | 138% |
| Naphcare | $509 | 143% |
| Blue Cross Blue Shield | $526 - $858 | 148% |
| First Health | $750 | 210% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Providence Medical Center in Kansas City, KS, the facility's cash price is $328, which is significantly lower than the state average of $947. While many insurance plans negotiate rates ranging from $154 to $858, patients with high-deductible plans may find paying the cash price directly more affordable, as the negotiated rates often exceed the cash rate. To secure the lowest possible cost, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the bill by offering immediate liquidity incentives that bypass standard insurance billing cycles.
When reviewing your final invoice, ensure you receive a detailed itemized statement rather than a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you encounter a balance bill from an out-of-network provider, remember that the No Surprises Act generally protects you from paying the difference between the provider's full charge and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. For transparency, the facility's Medicare benchmark rate is $356.43, which serves as a reliable baseline to evaluate pricing; commercial rates should ideally align within 120% to 150% of this figure, whereas the gross charge of $5,196 represents a substantial markup that should be challenged through a formal audit dispute if unexpected charges appear.