CT scan, abdomen and pelvis (with contrast)
Facility: Kearny County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,431
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 6.82x 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 682% of the Medicare baseline (a markup of 582%). 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 | $1,500 - $2,431 | 421% |
| Aetna | $1,500 - $2,431 | 421% |
| Humana | $1,593 | 447% |
| Wps Gha - Mac J5 Part A | $2,431 | 682% |
| UnitedHealthcare | $2,431 | 682% |
| Community Care Health Plan Of | $2,431 | 682% |
| Kansas Solutions | $2,431 | 682% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Kearny County Hospital in Lakin, KS, the negotiated rates across seven insurance plans range from $1,500 to $2,431, with the highest amount being the gross charge of $2,431. This facility is a Critical Access Hospital with government-local ownership, and while the median negotiated rate is $2,431, the median amount paid by patients is significantly lower at $316.00. It is important to note that cash-pay options are not listed for this service, meaning patients without insurance coverage may face higher out-of-pocket costs compared to those utilizing insurance benefits.
When evaluating the cost relative to federal standards, the Medicare amount for this procedure is $356.43. The data indicates a variance of 6.8% against Medicare rates, which serves as a key benchmark for understanding the facility's pricing structure. Although the facility is located in Lakin (ZIP 67860), specific county or state average comparisons for this exact procedure were not provided in the available data. Patients should be aware that while insurance contracts cap charges at negotiated rates, they may still be subject to balance billing if out-of-network providers are involved for ancillary services, though the No Surprises Act protects against such billing for emergency care and non-emergency services at in-network facilities.