CT scan, abdomen and pelvis (with contrast)
Facility: Wichita County Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,144
- Cash Discount Price: $1,003
- vs. Medicare Baseline: 3.21x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 321% of the Medicare baseline (a markup of 221%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $1,035 | 290% |
| UnitedHealthcare | $1,254 | 352% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Wichita County Health Center in Leoti, Kansas, the negotiated rates for Medicaid and UnitedHealthcare are identical at $1,035, while the cash median price is $1,003. This cash rate is approximately 3.2% higher than the Medicare benchmark of $356.43, which serves as the objective baseline for fair pricing. Although the facility is a Critical Access Hospital with government-local ownership, patients should verify if their specific insurance plan has a deductible that would require them to pay the full negotiated amount before coverage kicks in. If your plan has a high deductible, paying the cash price directly might be more cost-effective than relying on insurance, provided you can secure a prompt-pay discount by paying upfront.
To ensure you are not overcharged, it is crucial to request a detailed, itemized bill before finalizing payment, as summary bills often hide errors or unbundled charges. Since over 80% of hospital bills contain mistakes, asking for a line-by-line review can help identify services not rendered or unnecessary fees. Additionally, because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should not feel pressured to pay unexpected differences immediately; instead, request a formal audit dispute in writing if you believe the charges are incorrect. Always confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available prior to scheduling your appointment to avoid being locked into standard insurance processing rates.