CT scan, abdomen and pelvis (with contrast)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $320
- Cash Discount Price: $1,661
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $314 | 88% |
| United Mine Workers Of America | $320 | 90% |
| Providrs Care Network | $320 | 90% |
| Aetna | $320 - $400 | 90% |
| UnitedHealthcare | $320 - $387 | 90% |
| Blue Cross Blue Shield | $320 - $462 | 90% |
| Lantern Specialty Care | $512 | 144% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Kansas Spine & Specialty Hospital in Wichita, the cash price is $1,661, which is lower than the facility's gross charge of $2,555. While the hospital is a physician-owned acute care facility, the negotiated rates for in-network payers range from $314 to $512, depending on the specific insurance plan. It is important to note that for patients with high-deductible plans, paying the cash price of $1,661 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final amount owed.
When evaluating the cost against broader benchmarks, the Medicare amount for this service is $356.43, which serves as the objective baseline for fair pricing. The facility's cash rate of $1,661 is significantly higher than the Medicare benchmark, reflecting the typical markup found in commercial healthcare pricing where negotiated rates can average 200% to 300% of the Medicare rate. If you receive a bill from this facility, you should request a full itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as double-billing or unbundled codes. If you encounter a balance bill from an out-of-network provider, you may be protected under the No Surprises Act, which bans surprise billing for emergency care and non-emergency services at in-network facilities.