CT scan, abdomen and pelvis (with contrast)
Facility: Kansas Heart Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $3,330
- Cash Discount Price: $2,331
- vs. Medicare Baseline: 9.34x 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 934% of the Medicare baseline (a markup of 834%). 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 |
|---|---|---|
| Tricare | $289 | 81% |
| Humana | $321 | 90% |
| UnitedHealthcare | $321 - $3,700 | 90% |
| Celtic Mcr Adv | $321 | 90% |
| Medicaid / KanCare | $321 - $3,700 | 90% |
| Blue Cross Blue Shield | $462 - $3,700 | 130% |
| Wppa - All Plans | $541 | 152% |
| Multiplan - All Plans | $3,330 | 934% |
| Aetna | $3,608 - $3,700 | 1012% |
| Soonerselect Mcaid - All Plans | $3,700 | 1038% |
| Celtic Mcaid - All Other Plans | $3,700 | 1038% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Kansas Heart Hospital in Wichita, KS, the facility's cash price of $2,331 is lower than the median negotiated rate of $3,330 paid by most insurance plans. While the facility's negotiated rate aligns with the state average for this procedure, patients with high-deductible plans may find the cash price more advantageous if their insurance allows a higher amount than the cash rate. It is important to note that commercial rates often include administrative overhead and contract markups that can exceed the true cost of care, which is reflected in the Medicare benchmark of $356.43 for this service.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like labs are billed separately. To avoid confusion, consumers should request a full itemized bill before paying, as summary invoices may hide unbundled codes or services not rendered. Additionally, asking the hospital about self-pay or prompt-pay discounts before scheduling can secure immediate fee reductions, potentially lowering the final cost significantly compared to waiting for insurance adjudication.