CT scan, abdomen and pelvis (with contrast)
Facility: Nemaha Valley Community Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,258
- Cash Discount Price: $2,200
- vs. Medicare Baseline: 3.53x 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 353% of the Medicare baseline (a markup of 253%). 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% |
| Humana | $1,065 - $1,086 | 299% |
| Va Ccn - All Plans | $1,065 - $1,086 | 299% |
| Aetna | $1,075 - $2,098 | 302% |
| Celtic Comm Exch - All Plans | $1,171 - $1,195 | 329% |
| Partners Direct Health - All Plans | $1,258 - $1,283 | 353% |
| Multiplan - All Plans | $2,178 - $2,221 | 611% |
| Health Partners - All Plans | $2,299 - $2,345 | 645% |
| Midlands Choice - All Plans | $2,299 - $2,345 | 645% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Nemaha Valley Community Hospital in Seneca, KS, the cash median price is $2,200, which is lower than the negotiated rates paid by most major insurers in this region. While commercial payers like Aetna and Multiplan have negotiated ranges extending up to $2,345, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the cash rate avoids the administrative markup inherent in insurance billing cycles. It is important to note that this facility, a Critical Access Hospital, operates under specific federal protections that limit balance billing for emergency services, but patients should still verify their specific plan's allowed amount before scheduling to ensure they are not facing unexpected out-of-network charges for ancillary services.
To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount at the time of registration, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly claims processing. Additionally, since over 80% of hospital bills contain errors, consumers are advised to demand a full itemized CPT-coded statement rather than accepting a summary invoice, which may hide unbundled charges or services not rendered. When evaluating the facility's pricing, it is more accurate to compare the final negotiated or cash rate against the Medicare benchmark of $356.43 rather than the gross chargemaster price, as the Medicare rate represents the true cost baseline for this procedure.