CT scan, abdomen and pelvis (with contrast)
Facility: Ashland Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $707
- Cash Discount Price: $566
- vs. Medicare Baseline: 1.98x 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 | $237 | 66% |
| Compalliance-All Plans | $566 | 159% |
| Health Partners Of Kansas-All Plans | $601 | 169% |
| Multiplan-All Plans | $693 | 194% |
| Aetna | $707 | 198% |
| Medicaid / KanCare | $707 | 198% |
| Medicare (plans) | $707 | 198% |
| Healthy Blue Mcr Adv - All Other Plans | $707 | 198% |
| Health Choice-All Plans | $707 | 198% |
| UnitedHealthcare | $707 | 198% |
| Medica Mcare - All Plans | $707 | 198% |
| Providers Care (Wppa)-All Plans | $1,060 | 297% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Ashland Health Center in Ashland, KS, the facility's cash price is $566.00, which is lower than the median negotiated rate of $707.00 paid by insurance plans. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans may find paying the cash price directly more beneficial if their insurance allows a rate higher than $566.00. To maximize savings, consumers should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can reduce the final cost by bypassing administrative fees and claims processing delays.
The Medicare benchmark for this service is $356.43, which serves as the objective baseline for evaluating pricing fairness. Although the data does not provide specific state or county average comparisons for this exact procedure, the facility's cash rate of $566.00 represents a significant markup over the federal Medicare rate, reflecting the typical administrative load and contract dynamics inherent in commercial billing. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is crucial to verify network status and request an itemized bill to ensure no unbundled codes or services not rendered are included in the final invoice.