CT scan, abdomen and pelvis (with contrast)
Facility: Ellinwood District Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $452
- Cash Discount Price: $548
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| Blue Cross Blue Shield | $413 - $490 | 116% |
| Aetna | $413 - $490 | 116% |
| Humana | $413 - $490 | 116% |
| UnitedHealthcare | $413 - $490 | 116% |
| Cigna | $413 - $490 | 116% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Ellinwood District Hospital in Kansas, the facility's cash median price is $548.00, which is lower than the negotiated rates paid by major insurers like Blue Cross Blue Shield, Aetna, Humana, UnitedHealthcare, and Cigna, all of which average $452.00. While the cash price appears higher than the negotiated amount, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allows a rate that exceeds the cash price. It is important to note that the facility is a Critical Access Hospital owned by a Government Hospital District, and while the data does not provide a specific state or county average for comparison, the cash rate remains a key benchmark for self-pay patients.
The Medicare benchmark for this service is $356.43, which serves as the objective baseline for evaluating pricing markups. The facility's cash median of $548.00 represents a 1.3x multiplier relative to the Medicare amount, while the median negotiated rate of $452.00 reflects the contractual ceiling agreed upon with commercial payers. To ensure you are receiving the best possible rate, we recommend requesting an itemized billing audit before finalizing payment to identify any unbundled codes or services not rendered, and asking the billing department about prompt-pay discounts that could further reduce the final cost.