CT scan, abdomen and pelvis (with contrast)
Facility: Saint Luke'S South Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,009
- Cash Discount Price: $6,546
- vs. Medicare Baseline: 2.83x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 283% of the Medicare baseline (a markup of 183%). 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 |
|---|---|---|
| Medicaid / KanCare | $181 - $457 | 51% |
| Humana | $236 - $386 | 66% |
| UnitedHealthcare | $279 - $1,009 | 78% |
| Aetna | $304 - $10,364 | 85% |
| Blue Cross Blue Shield | $349 - $8,193 | 98% |
| Cigna | $413 - $8,281 | 116% |
| Transplants-Case Rates [5750] | $422 - $10,910 | 118% |
| Commercial-Contracted [8000] | $959 - $8,826 | 269% |
| First Health [5512] | $6,467 | 1814% |
Consumer Guidance & Cost Commentary
For the CPT code 74177, representing a CT scan of the abdomen and pelvis with contrast, Saint Luke's South Hospital in Overland Park, KS, lists a gross charge of $10,910. The facility's cash median price is $6,546, which is significantly lower than the negotiated rates paid by major insurers. While Medicaid/KanCare plans see a range of $181 to $457, and Humana plans range from $236 to $386, UnitedHealthcare plans can range up to $1,009, and Aetna plans can reach as high as $10,364. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients with high-deductible plans may find the cash price of $6,546 more affordable than their insurance allowed amount. Additionally, the facility offers a prompt-pay discount for upfront payment, which can further reduce the final cost.
When comparing pricing benchmarks, the Medicare amount for this procedure is $356.43, and the facility's cash rate is approximately 18.4 times the Medicare amount. While commercial negotiated rates typically average 200% to 300% of Medicare, the cash price here remains a critical reference point for consumers. Patients should be aware that hospitals often issue summary bills that obscure individual line items, so requesting an itemized CPT-coded bill is essential to identify any errors, unbundled codes, or services not rendered before paying. Furthermore, if a patient receives care from an out-of-network provider or encounters unexpected ancillary