CT scan, abdomen and pelvis (with contrast)
Facility: Mercy Hospital Columbus
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $3,435
- Cash Discount Price: $3,076
- vs. Medicare Baseline: 9.64x 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 964% of the Medicare baseline (a markup of 864%). 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 |
|---|---|---|
| Centivo Contracted [320505] | $48 | 13% |
| Humana | $189 - $4,495 | 53% |
| Medicaid / KanCare | $189 - $3,435 | 53% |
| UnitedHealthcare | $304 - $3,928 | 85% |
| Blue Cross Blue Shield | $304 - $3,435 | 85% |
| Medicare (plans) | $334 - $3,573 | 94% |
| Insurance System Inc Contracted [320465] | $2,035 | 571% |
| Health Systems Inc Contracted [320174] | $2,035 | 571% |
| Administrative Payor Contracted [320005] | $2,129 | 597% |
| Kindful Hospice Contracted [320434] | $3,435 | 964% |
| Aetna | $3,435 - $4,259 | 964% |
| Ambetter / Centene | $3,435 | 964% |
| Novasys Contracted [320285] | $3,435 | 964% |
| Pace Of The Ozarks Contracted [320518] | $3,435 | 964% |
| Globalhealth Contracted [320145] | $3,435 | 964% |
| Elara Caring Aspire Hospice [20433] | $3,435 | 964% |
| Cherokee Nation Health Serv Contracted [320066] | $3,435 | 964% |
| Halo Hcr Inc Hospice [20432] | $3,435 | 964% |
| Mercy Mgd Behavioral Health Contracted [320259] | $3,435 | 964% |
| Home State Health Plan Contracted [320187] | $3,435 | 964% |
| Qual Choice Contracted [320325] | $3,435 | 964% |
| Halo Hcr Inc Hospice Contracted [320432] | $3,435 | 964% |
| Medical Associates Health Contracted [320444] | $3,435 | 964% |
| Indian Health Service Contracted [320198] | $3,435 | 964% |
| Kindful Hospice [20434] | $3,435 | 964% |
| Cross Timbers Hospice [20098] | $3,435 | 964% |
| Mercy Hospice Okc [20252] | $3,435 | 964% |
| Provider Partners Health Plans Contracted [320450] | $3,435 | 964% |
| Dept Of Veteran Affairs Contracted [320106] | $3,435 | 964% |
| Centurion Of Missouri [20459] | $3,435 | 964% |
| Cigna | $3,435 | 964% |
| Tricare | $3,446 | 967% |
| Healthscope Contracted [320182] | $3,648 | 1023% |
| Workers Comp [20426] | $3,786 - $4,022 | 1062% |
| United Medical Resources Contracted [320454] | $3,928 - $4,495 | 1102% |
| Medica Contracted [320239] | $4,240 | 1190% |
| First Health Contracted [320128] | $4,259 | 1195% |
| American Healthcare Alliance Contracted [320020] | $4,259 | 1195% |
| Preferred Health Plan Contracted [320522] | $4,259 | 1195% |
| Mercy Benefit Admin Contracted [320251] | $4,259 - $4,495 | 1195% |
| Federal Medical Center Contracted [320127] | $4,259 | 1195% |
| Healthlink Contracted [320179] | $4,259 - $4,495 | 1195% |
| Usa Managed Care Org Contracted [320429] | $4,259 | 1195% |
| Reflect Health Contracted [320492] | $4,495 | 1261% |
| Show-Me Health Administrators Contracted [320483] | $4,495 | 1261% |
| Private Health Care Systems Contracted [320320] | $4,495 | 1261% |
| Ppo Plus Contracted [320310] | $4,495 | 1261% |
| Aither Health Contracted [320449] | $4,495 | 1261% |
| Benefit Management Contracted [320052] | $4,495 | 1261% |
| Ebms Contracted [320493] | $4,495 | 1261% |
| Auxiant Contracted [320462] | $4,495 | 1261% |
| Yuzu Health Contracted [320521] | $4,495 | 1261% |
| Imagine 360 Contracted [320494] | $4,495 | 1261% |
| 90 Degree Benefits Contracted [320436] | $4,495 | 1261% |
| Edison Health Solutions Contracted [320502] | $4,495 | 1261% |
| Point C Contracted [320238] | $4,495 | 1261% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Mercy Hospital Columbus, the facility's cash median price of $3,076 is lower than the state average of $3,435, making it a cost-effective option for self-pay patients. While the gross charge listed is $4,732, commercial payers negotiate rates that often exceed the cash price; for instance, UnitedHealthcare and Blue Cross Blue Shield have negotiated ranges starting at $3,04, which can be higher than the cash rate. Patients with high-deductible plans may find paying the cash price directly more beneficial than relying on insurance, as the negotiated amounts for many commercial plans do not offer a discount over the $3,076 cash median. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill.
The facility's Medicare benchmarking rate of $356.43 serves as the objective baseline for evaluating pricing, revealing that the cash price is approximately 8.6 times the Medicare rate, which aligns with the typical commercial markup range of 200% to 300% seen across the industry. Although the data does not provide specific county or state average comparisons for the Medicare rate itself, the cash price remains competitive relative to the broader state landscape. To ensure accuracy, patients should request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities