CT scan, abdomen and pelvis (with contrast)
Facility: Graham County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $651
- Cash Discount Price: $840
- vs. Medicare Baseline: 1.83x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $114 | 32% |
| UnitedHealthcare | $114 - $798 | 32% |
| Blue Cross Blue Shield | $453 | 127% |
| Medicare (plans) | $630 | 177% |
| Celtic Commercial-All Other Plans | $693 | 194% |
| Wppa (Providers Care)-All Plans | $798 | 224% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Graham County Hospital in Hill City, Kansas, the cash price is $840.00, which matches the facility's median negotiated rate. This cash price is significantly lower than the median negotiated rates for UnitedHealthcare ($651.00) and Medicare ($693.00), meaning patients with high-deductible plans or those without insurance could save money by paying cash upfront. While the facility is a Critical Access Hospital with government local ownership, the cash rate of $840.00 is notably higher than the Medicare benchmark of $356.43, reflecting the standard administrative markup inherent in commercial billing structures. Patients should verify if the hospital offers a prompt-pay discount, which could further reduce the $840.00 cash price if paid in full within 30 days, effectively bypassing the higher administrative costs associated with insurance claims processing.
The pricing for this service varies widely among payers, with Medicaid/KanCare and Blue Cross Blue Shield both settling at $114 and $453 respectively, while UnitedHealthcare ranges from $114 to $798 depending on the specific plan. It is important to note that the $114 rate for Medicaid/KanCare is substantially lower than the cash price, suggesting that for those eligible, insurance coverage is the most cost-effective option. However, for those who have met their deductible or possess high-deductible plans, the cash price of $840.00 may be preferable to the negotiated rates of some commercial payers, as the insurance allowed amount could exceed the cash price. Consumers are advised to request