CT scan, abdomen and pelvis (with contrast)
Facility: Rooks County Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,273
- Cash Discount Price: $1,895
- vs. Medicare Baseline: 6.38x 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 638% of the Medicare baseline (a markup of 538%). 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 | $480 | 135% |
| Celtic Mcr Adv | $1,187 | 333% |
| Tricare | $1,187 | 333% |
| Veterans Admin - All Plans | $1,187 | 333% |
| Celtic Comm - All Other Plans | $1,306 | 366% |
| UnitedHealthcare | $2,273 | 638% |
| Preferred Benefits Admin | $2,273 | 638% |
| Aetna | $2,273 | 638% |
| Preferred Hlthcare - All Other Plans | $2,400 | 673% |
| Health Partners - All Plans | $2,400 | 673% |
| Healthy Blue Mcaid - All Plans | $2,526 | 709% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Rooks County Health Center in Plainville, Kansas, the facility's cash median rate is $1,895, while the median negotiated rate paid by insurance is $2,273. This specific procedure carries a Medicare benchmark of $356.43, indicating that the cash price is significantly higher than the federal baseline but lower than the average commercial negotiated rate. The facility, a Critical Access Hospital owned by a government hospital district, lists 11 different payers, with negotiated amounts ranging from $480 for Blue Cross Blue Shield up to $2,526 for Healthy Blue Mcaid. Because the cash price is lower than the median negotiated rate, patients with high-deductible plans or those without insurance may save money by paying directly, provided they qualify for the facility's self-pay or prompt-pay discounts before scheduling.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details to avoid unexpected costs. If you receive a summary bill, you are entitled to request a full itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. Given that the facility's cash rate exceeds the Medicare benchmark, ensure you are comparing your payment against the true cost rather than the inflated chargemaster list price. Always ask the billing department about prompt-pay discounts upfront and refuse to sign any waivers that might waive your rights to dispute out-of-network charges or demand a detailed line-item statement before finalizing payment.