CT scan, abdomen and pelvis (with contrast)
Facility: Stafford County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $775
- Cash Discount Price: $775
- vs. Medicare Baseline: 2.17x 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 217% of the Medicare baseline (a markup of 117%). 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 |
|---|---|---|
| Health Partners-All Plans | $736 | 206% |
| Medica Mcr- All Plans | $775 | 217% |
| Va Ccn-All Plans | $775 | 217% |
| Humana | $775 | 217% |
| UnitedHealthcare | $775 | 217% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Stafford County Hospital, the cash price is $775.00, which matches the median negotiated rate across all five payers listed, including Health Partners, Medica, and Humana. While the facility is a Critical Access Hospital in Stafford, Kansas, the data provided does not include specific county or state average comparisons for this procedure, so the cash price cannot be directly benchmarked against regional norms. However, it is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead; in this specific case, the negotiated amount equals the cash price, meaning patients with high-deductible plans who have not yet met their coverage threshold may find paying the full $775.00 out-of-pocket to be the most cost-effective option compared to insurance processing.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not automatically eliminate all potential costs if ancillary services are billed separately. To ensure you receive the lowest possible rate, we strongly recommend requesting a prompt-pay discount before scheduling your visit, as hospitals often offer immediate fee reductions for upfront cash payments. Additionally, if you receive a bill, always demand a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. By verifying your deductible status and asking for a self-pay classification prior to check-in, you can avoid unexpected charges and ensure you are paying the most accurate, transparent rate available.