CT scan, abdomen and pelvis (with contrast)
Facility: Clara Barton Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,563
- Cash Discount Price: $1,994
- vs. Medicare Baseline: 7.19x 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 719% of the Medicare baseline (a markup of 619%). 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 | $453 | 127% |
| 6 Degrees Health - All Plans | $1,994 | 559% |
| Wppa-All Plans | $2,278 | 639% |
| UnitedHealthcare | $2,563 | 719% |
| Phcs - All Plans | $2,563 | 719% |
| Aetna | $2,563 | 719% |
| Hlth Partners Of Ks-All Plans | $2,620 | 735% |
Consumer Guidance & Cost Commentary
This CT scan of the abdomen and pelvis at Clara Barton Hospital in Hoisington, Kansas, carries a gross charge of $2,848.00, with a cash median price of $1,994.00 and a median negotiated rate of $2,563.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the negotiated rates for major payers like UnitedHealthcare and Aetna exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if their insurance allowed amount surpasses the cash rate. It is important to note that this specific service does not have a listed county or state average for comparison in the current data; however, consumers should always verify their specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting a deductible can result in significant out-of-pocket costs.
For patients considering payment options, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you are an out-of-network patient or if ancillary services like emergency care or lab work were provided by out-of-network providers, you may be subject to balance billing for the difference between the allowed amount and the full chargemaster rate. Under the No Surprises Act, balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities, so if you receive a surprise bill, you should dispute it with your insurer and request a formal audit rather than paying immediately. Finally, always request a detailed, itemized bill before agreeing to