CT scan, abdomen and pelvis (with contrast)
Facility: Jewell County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,283
- Cash Discount Price: $1,013
- vs. Medicare Baseline: 3.60x 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 360% of the Medicare baseline (a markup of 260%). 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 |
|---|---|---|
| Rural Carriers - All Plans | $1,148 | 322% |
| Meritain - All Plans | $1,215 | 341% |
| Aetna | $1,215 | 341% |
| Midlands Choice - All Plans | $1,282 | 360% |
| First Health - All Plans | $1,282 | 360% |
| UnitedHealthcare | $1,282 | 360% |
| Cigna | $1,282 | 360% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Jewell County Hospital in Mankato, KS, the facility's cash price is $1,013, which is lower than the state average of $1,249. While the hospital's negotiated rate with insurance carriers averages $1,283, patients with high-deductible plans might find it beneficial to pay the cash price directly, as it is significantly lower than the amount insurers typically pay. It is important to note that commercial rates often include administrative overhead and contract markups that can exceed the true cost of care represented by the Medicare benchmark of $356.43 for this procedure.
Before scheduling, patients should verify their specific plan's deductible status and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a full itemized bill to ensure no errors or unbundled charges exist. Given that over 80% of hospital bills contain errors, reviewing the line-by-line details before payment is the most effective way to avoid unexpected costs.