CT scan, abdomen and pelvis (with contrast)
Facility: Overland Park Reg Med Ctr
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $3,882
- Cash Discount Price: $18,368
- vs. Medicare Baseline: 10.89x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1089% of the Medicare baseline (a markup of 989%). 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 |
|---|---|---|
| United | $207 - $8,734 | 58% |
| Amerigroup | $207 | 58% |
| Healthyblue | $211 | 59% |
| Medicaid / KanCare | $213 | 60% |
| Aetna | $215 - $9,898 | 60% |
| Unicare | $215 | 60% |
| Multiplan | $288 - $14,362 | 81% |
| Home State Health Plan | $320 | 90% |
| Corvel Corporation | $342 - $12,615 | 96% |
| Oha Network | $356 - $9,704 | 100% |
| Cigna | $427 - $635 | 120% |
| Humana | $453 - $585 | 127% |
| Blue Cross Blue Shield | $469 - $8,345 | 132% |
| Ambetter / Centene | $3,223 - $3,610 | 904% |
| Nhc Advantage | $3,292 - $3,688 | 924% |
| Wppa Providrs Care Network | $3,466 - $3,882 | 972% |
| Universal Healthcare | $6,065 - $6,793 | 1702% |
| Coventry | $6,966 - $7,802 | 1954% |
| Coventry Kc Mo | $7,105 - $7,957 | 1993% |
| College Park Family Care Center | $7,451 - $8,345 | 2090% |
| Focus Healthcare Mgmt, Inc | $12,997 - $14,556 | 3646% |
| Triwest Health Alliance | $12,997 - $14,556 | 3646% |
| Cco, Inc. | $12,997 - $14,556 | 3646% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Overland Park Reg Med Ctr, the cash price is $18,368.00, which matches the facility's cash median. This rate is significantly higher than the state average for this procedure, as indicated by the 10.9% variance compared to Medicare benchmarks. While commercial insurance plans like United and Amerigroup have negotiated rates as low as $207, many other payers, including Aetna and Multiplan, have negotiated ranges extending up to $14,362. Patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if their insurance negotiated rate exceeds the cash price, though they must verify their specific plan's allowed amount before scheduling.
To minimize potential costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full before services are rendered. It is also important to request an itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If a patient receives a balance bill for out-of-network services, they may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Always dispute any unexpected charges in writing to the billing supervisor to ensure accuracy and avoid unnecessary debt.