CT scan, abdomen and pelvis (with contrast)
Facility: Logan County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,718
- Cash Discount Price: $625
- vs. Medicare Baseline: 4.82x 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 482% of the Medicare baseline (a markup of 382%). 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 | $1,060 | 297% |
| Health Partners - All Plans | $2,375 | 666% |
| Medicaid / KanCare | $2,500 | 701% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Logan County Hospital in Oakley, Kansas, the facility's cash median rate is $625.00, which is significantly lower than the negotiated rates paid by major payers like Humana ($1,060) and Health Partners ($2,375). This price difference highlights how commercial insurance contracts can result in higher out-of-pocket costs for patients who have not met their deductibles, whereas paying cash upfront or utilizing a prompt-pay discount could reduce the total bill substantially. Since the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask to be classified as self-pay before scheduling to ensure they receive the lowest possible rate and avoid automatic claims submission that would trigger higher insurance negotiated fees.
The facility's gross charge of $2,500 is notably higher than the Medicare benchmark of $356.43, illustrating the common markup found in commercial billing structures. While the data does not provide specific county or state average comparisons for this procedure, the stark contrast between the cash rate and the Medicaid rate ($2,500) underscores the importance of verifying your specific plan's allowed amount prior to treatment. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, it is still prudent to request an itemized bill to identify any unbundled codes or services not rendered, ensuring that the final invoice reflects only the actual care provided rather than inflated chargemaster lists.