CT scan, abdomen and pelvis (with contrast)
Facility: Cheyenne County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $755
- Cash Discount Price: $676
- vs. Medicare Baseline: 2.12x 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 212% of the Medicare baseline (a markup of 112%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $453 | 127% |
| First Health - All Plans | $556 | 156% |
| Healthy Blue Mcr Adv | $572 | 160% |
| UnitedHealthcare | $572 - $795 | 160% |
| Tricare | $572 | 160% |
| Aetna | $572 - $755 | 160% |
| Choice Care - All Plans | $578 | 162% |
| Firstguard - All Plans | $636 | 178% |
| Wppa - All Plans | $716 | 201% |
| Preferred Hc - All Plans | $755 | 212% |
| Cpm - All Plans | $755 | 212% |
| Midlands Choice - All Plans | $771 | 216% |
| Unicare - All Plans | $779 | 219% |
| Integrated Hp - All Plans | $779 | 219% |
| Ppo Next - All Plans | $779 | 219% |
| Health Partners - All Plans | $779 | 219% |
| Healthy Blue Mcaid - All Other Plans | $795 | 223% |
| Childrens Mercy - All Plans | $795 | 223% |
| Healthwave Mcaid - All Plans | $795 | 223% |
| Providers Care-All Plans | $1,192 | 334% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Cheyenne County Hospital in St. Francis, KS, the facility's cash price is $676.00, which is lower than the state average of $716.00. While many insurance plans negotiate rates ranging from $453 to $1,192, the cash rate often represents the most affordable option for patients with high-deductible plans or those without coverage, as it bypasses the administrative markup inherent in commercial contracts. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can sometimes reduce the final bill further than the listed cash rate.
It is important to understand that commercial negotiated rates are frequently higher than cash prices due to the costs of claims processing and contract management, even though they protect in-network members from balance billing. The facility's gross charge is $795.00, but Medicare reimbursement serves as a more accurate benchmark for fair pricing at $356.43, highlighting that commercial rates can exceed fair market value. If you receive a bill that appears to include charges for services not rendered or unbundled components, you should request a formal itemized audit to identify errors, as over 80% of hospital bills contain discrepancies that can be corrected through written dispute.