CT scan, abdomen and pelvis (with contrast)
Facility: Kansas City Orthopaedic Institute
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $887
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.49x 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 249% of the Medicare baseline (a markup of 149%). 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 |
|---|---|---|
| Cigna | $336 | 94% |
| Aetna | $341 | 96% |
| UnitedHealthcare | $341 | 96% |
| Blue Cross Blue Shield | $887 | 249% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rate is $887. This amount represents the maximum price commercial insurers like Cigna, Aetna, UnitedHealthcare, and Blue Cross Blue Shield are contractually allowed to pay for this service. While the facility is in-network, the negotiated rate is significantly higher than the Medicare benchmark of $356.43, which serves as the federal baseline for the true cost of care. In this specific case, the negotiated rate is 2.5 times the Medicare amount, indicating a substantial markup compared to the government's calculated cost basis.
Patients should be aware that paying cash or using a self-pay discount might result in lower out-of-pocket costs, particularly if their insurance deductible has not yet been met. Although the data does not list a specific cash price, hospitals often offer prompt-pay discounts ranging from 20% to 50% for upfront payments, which can bypass the administrative overhead of insurance billing cycles. To secure the best possible rate, it is recommended to contact the billing department directly to inquire about self-pay or prompt-pay options before scheduling the appointment, as these discounts are frequently not applied automatically when insurance is on file.