CT scan, abdomen and pelvis (with contrast)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,076
- Cash Discount Price: $1,341
- vs. Medicare Baseline: 3.02x 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 302% of the Medicare baseline (a markup of 202%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $356 - $359 | 100% |
| UnitedHealthcare | $431 - $1,495 | 121% |
| Berkley Net-All Plans | $594 - $598 | 167% |
| Aetna | $653 - $1,017 | 183% |
| Trustmark Health Benefits-All Plans | $653 - $658 | 183% |
| Meritain Health-All Plans | $668 - $673 | 187% |
| Ambetter / Centene | $713 - $718 | 200% |
| Axa Equitable - All Plans | $817 - $822 | 229% |
| Pinnacol-All Plans | $832 - $837 | 233% |
| Medi-Share-All Plans | $846 - $852 | 237% |
| Presbyterian-All Plans | $906 - $912 | 254% |
| Kasb Work Comp - All Plans | $950 - $957 | 267% |
| The Kempton Group Admin-All Plans | $1,025 - $1,032 | 288% |
| Gpha(Wppa)-All Other Plans | $1,040 - $1,046 | 292% |
| Auxiant - All Plans | $1,040 - $1,046 | 292% |
| Wppa- All Plans | $1,054 - $1,061 | 296% |
| Sisco-All Plans | $1,069 - $1,076 | 300% |
| Providers Care Network- All Plans | $1,069 - $1,076 | 300% |
| Emc-All Plans | $1,069 - $1,076 | 300% |
| Gpha Employee Benefit Plan | $1,084 - $1,091 | 304% |
| Regional Care(Wppa)-All Plans | $1,114 - $1,121 | 313% |
| Employee Benefit-All Plans | $1,114 - $1,121 | 313% |
| Triangle-All Plans | $1,129 - $1,136 | 317% |
| First Health -All Plans | $1,129 - $1,136 | 317% |
| One Call Physician-All Plans | $1,143 - $1,151 | 321% |
| Blue Cross Blue Shield | $1,173 - $1,181 | 329% |
| Christian Hospital Aid - All Plans | $1,188 - $1,196 | 333% |
| Tricare | $1,188 - $1,196 | 333% |
| Humana | $1,277 - $1,286 | 358% |
| Cigna | $1,307 - $1,316 | 367% |
| Luminare Health- All Plans | $1,307 - $1,316 | 367% |
| Deseret Mutual(Uhis)-All Plans | $1,336 - $1,346 | 375% |
| Coresource-All Plans | $1,336 - $1,346 | 375% |
| Vaccn-All Plans | $1,366 - $1,375 | 383% |
| Hma Llc-All Plans | $1,411 - $1,420 | 396% |
| Wps Vapc-All Plans | $1,411 - $1,420 | 396% |
| Reserve National-All Plans | $1,411 - $1,420 | 396% |
| Medicaid / KanCare | $1,485 - $1,495 | 417% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Satanta District Hospital, the cash price is $1,341, which is lower than the gross charge of $1,490. While many commercial payers negotiate rates ranging from $356 to $1,495, the cash rate is notably lower than the median negotiated amount of $1,076 found across 38 payers. This suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly may result in lower total costs compared to using insurance, as the insurer's allowed amount often exceeds the cash rate. Patients should verify their specific plan's deductible status and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
To ensure you are not overcharged, it is important to understand that commercial rates are often inflated by administrative overhead and contract structures, whereas Medicare rates serve as a more accurate benchmark for the true cost of care. In this case, the Medicare amount is $356.43, which is significantly lower than both the cash and negotiated rates, highlighting the markup inherent in commercial billing. If you receive a bill that appears higher than expected, you should request a detailed, itemized statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. Additionally, if you are an out-of-network patient receiving care at this in-network facility, the No Surprises Act protects you from balance billing for emergency services and non-emergency services from out-of-network providers at this hospital