CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $575
- Cash Discount Price: $3,543
- vs. Medicare Baseline: 1.61x 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 | $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