CT scan, abdomen and pelvis (with contrast)
Facility: Menorah Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $651
- Cash Discount Price: $12,400
- vs. Medicare Baseline: 1.83x 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 |
|---|---|---|
| Amerigroup | $207 | 58% |
| United | $207 - $5,580 | 58% |
| Healthyblue | $211 | 59% |
| Medicaid / KanCare | $213 | 60% |
| Unicare | $215 | 60% |
| Aetna | $215 - $6,324 | 60% |
| Multiplan | $288 - $9,176 | 81% |
| Home State Health Plan | $320 | 90% |
| Corvel Corporation | $342 - $8,060 | 96% |
| Oha Network | $356 - $6,200 | 100% |
| Cigna | $427 - $9,920 | 120% |
| Humana | $453 - $585 | 127% |
| Blue Cross Blue Shield | $469 - $5,580 | 132% |
| Ambetter / Centene | $2,306 | 647% |
| Nhc Advantage | $2,356 | 661% |
| Wppa Providrs Care Network | $2,480 | 696% |
| Universal Healthcare | $4,340 | 1218% |
| Coventry | $4,985 | 1399% |
| Coventry Kc Mo | $5,084 | 1426% |
| College Park Family Care Center | $5,332 | 1496% |
| Cco, Inc. | $9,300 | 2609% |
| Focus Healthcare Mgmt, Inc | $9,300 | 2609% |
| Triwest Health Alliance | $9,300 | 2609% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Menorah Medical Center in Overland Park, KS, the cash price is $12,400.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a Medicare benchmarking ratio of 1.8, meaning the facility charges 80% more than the federal government's baseline for this service. While commercial insurance plans like United and Aetna have negotiated rates ranging from $207 to $9,176, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can result in lower out-of-pocket costs compared to the insurance negotiated rate, provided the patient's deductible has not been met. Patients should verify their specific plan's allowed amount and consider requesting a self-pay or prompt-pay discount before scheduling to avoid unexpected balances.
The facility's pricing structure includes a wide variance in negotiated rates across different payers, with some plans like Cigna and Multiplan having maximum allowed amounts as high as $9,920 and $9,176 respectively. However, it is important to note that these negotiated rates are not guaranteed to be the lowest possible cost; commercial rates often include administrative overhead that can inflate the baseline price by 20% to 40% above the true cost of care. To ensure you are not overcharged, you should request a full itemized billing audit before paying any invoice, as summary bills may obscure unbundled codes or services not rendered. If you receive a balance bill from an out-of-network provider, even at this in-network facility, you