CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $575
  • Cash Discount Price: $3,543
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Specialty Hospital Southeast Kansas is $575. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,543. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.61x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$3,543

Average discount available for prompt cash payment at this facility.

Insurance Median
$575

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,543 (994%)
Insurance Median: $575 (161%)
Cash: $3,543 (994% of Medicare)
Ins. Median: $575 (161% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $189 - $348 53%
Aetna $189 - $341 53%
Medicaid / KanCare $189 - $341 53%
Provider Partners Health Plans Contracted [320450] $199 56%
Blue Cross Blue Shield $207 - $490 58%
First Health Contracted [320128] $278 78%
UnitedHealthcare $304 - $5,042 85%
Globalhealth Contracted [320145] $341 96%
Pace Of The Ozarks Contracted [320518] $341 96%
Medicare (plans) $341 96%
Tricare $341 96%
Halo Hcr Inc Hospice Contracted [320432] $341 96%
Halo Hcr Inc Hospice [20432] $341 96%
Cross Timbers Hospice [20098] $341 96%
Kindful Hospice Contracted [320434] $341 96%
Cherokee Nation Health Serv Contracted [320066] $341 96%
Elara Caring Aspire Hospice [20433] $341 96%
Mercy Mgd Behavioral Health Contracted [320259] $341 96%
Cigna $341 - $1,097 96%
Qual Choice Contracted [320325] $341 96%
Mercy Hospice Okc [20252] $341 96%
Kindful Hospice [20434] $341 96%
Medical Associates Health Contracted [320444] $341 96%
Dept Of Veteran Affairs Contracted [320106] $348 98%
Centivo Contracted [320505] $348 98%
United Medical Resources Contracted [320454] $351 - $922 98%
Providrs Care Network Contracted [320484] $661 185%
Medica Contracted [320239] $734 206%
Insurance System Inc Contracted [320465] $922 259%
Health Systems Inc Contracted [320174] $922 259%
Benefit Management Contracted [320052] $922 259%
Point C Contracted [320238] $922 - $4,088 259%
Healthscope Contracted [320182] $922 - $4,088 259%
Mercy Benefit Admin Contracted [320251] $1,902 - $3,816 534%
Show-Me Health Administrators Contracted [320483] $1,902 534%
Imagine 360 Contracted [320494] $3,816 1071%
Edison Health Solutions Contracted [320502] $3,816 1071%
Ebms Contracted [320493] $3,816 1071%
Auxiant Contracted [320462] $3,816 - $4,088 1071%
American Healthcare Alliance Contracted [320020] $3,816 1071%
Reflect Health Contracted [320492] $3,816 1071%
Aither Health Contracted [320449] $3,816 1071%
Yuzu Health Contracted [320521] $3,816 1071%
Healthlink Contracted [320179] $4,088 1147%
Preferred Health Plan Contracted [320522] $4,088 1147%
Federal Medical Center Contracted [320127] $4,088 1147%
Compcare Of The Ozarks Contracted [320437] $4,306 1208%
Workers Comp [20426] $4,361 1224%
Private Health Care Systems Contracted [320320] $5,042 1415%
Multiplan Contracted [320270] $5,178 1453%
Multiplan [20270] $5,178 1453%

Consumer Guidance & Cost Commentary

For the CT scan of the abdomen and pelvis with contrast (CPT 74177), Mercy Specialty Hospital Southeast Kansas lists a gross charge of $5,451.00, which is significantly higher than the state average for this procedure. While the facility's cash median rate is $3,543.00, commercial insurance plans typically pay negotiated rates that often exceed the cash price due to administrative overhead and contract structures. For instance, UnitedHealthcare plans may pay up to $5,042.00, whereas Medicaid/KanCare plans pay a much lower rate of $189.00 to $341.00. Patients with high-deductible plans should consider that paying the cash median of $3,543.00 upfront could be more cost-effective than relying on insurance, which might result in a higher allowed amount that the patient must cover after their deductible is met.

To minimize out-of-pocket costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill by 20% to 50% by bypassing insurance billing cycles. It is also important to verify the specific negotiated rate for your plan, as rates vary widely by payer; for example, Medicare plans pay a standardized $341.00, while some contracted plans like Point C or Healthscope have negotiated ranges extending up to $4,088.00. Finally, if you receive a bill, always request a full itemized statement to review every code and ensure no services were rendered or bundled incorrectly, as over 80% of hospital bills contain errors that

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals