CT scan, abdomen and pelvis (with contrast)
Facility: Kansas Medical Center Llc
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $321
- Cash Discount Price: $1,080
- 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 |
|---|---|---|
| Medicaid / KanCare | $181 | 51% |
| Indian Health | $289 | 81% |
| Tricare | $289 | 81% |
| Humana | $321 | 90% |
| Ambetter / Centene | $321 | 90% |
| Blue Cross Blue Shield | $321 - $437 | 90% |
| Medadv_Wellcare | $321 | 90% |
| Aetna | $450 | 126% |
| Wppa | $525 | 147% |
| United | $580 | 163% |
| Three_Rivers | $643 | 180% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Kansas Medical Center Llc in Andover, the cash price is $1,080, which is lower than the facility's gross charge of $1,800. While the median negotiated rate across payers is $321, many commercial plans, such as United and Wppa, negotiate rates as high as $580 and $525 respectively. This highlights that in-network coverage does not guarantee the lowest price; in cases where your deductible is high or your plan has a high allowed amount, paying the cash price directly could result in significant savings compared to your insurance's negotiated rate.
The facility's cash price of $1,080 is also notably lower than the state of Kansas average for this procedure, making it a cost-effective option for self-pay patients. However, patients should be aware that insurance billing can lead to balance billing if out-of-network ancillary services are involved, though the No Surprises Act protects against this for emergency care at in-network facilities. To ensure you receive the best possible rate, we strongly recommend requesting a prompt-pay discount or self-pay classification before scheduling your visit, as this can reduce the final bill by 20% to 50% and bypass costly insurance administrative fees.