CT scan, abdomen and pelvis (with contrast)
Facility: Great Plains Of Sabetha
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $634
- Cash Discount Price: $666
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| Celtic Mcr Adv | $346 - $347 | 97% |
| Aetna | $349 - $674 | 98% |
| Celtic Comm Exchange-All Other Plans | $432 - $434 | 121% |
| Great West Healthcare-All Plans | $565 - $567 | 159% |
| UnitedHealthcare | $618 - $667 | 173% |
| Century/Wppa/Providers-All Plans | $632 - $634 | 177% |
| Cigna | $632 - $634 | 177% |
| Humana | $632 - $634 | 177% |
| Multiplan-Phcs-All Plans | $632 - $634 | 177% |
| Federated Mutual Ins-All Plans | $638 - $640 | 179% |
| Blue Cross Blue Shield | $665 - $667 | 187% |
| Medicaid / KanCare | $665 - $667 | 187% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Great Plains of Sabetha, the cash price is $666.00, which matches the facility's median negotiated rate of $634.00 and the cash median. This service is significantly more expensive than the Medicare benchmark of $356.43, with the cash price representing 1.8 times the Medicare amount. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific state or county average figures for comparison. Patients should note that while cash payment is straightforward, commercial payers negotiate rates that often exceed the cash price; for instance, UnitedHealthcare and Blue Cross Blue Shield have negotiated ranges ($618–$667 and $665–$667, respectively) that are higher than the cash rate. If you have a high-deductible plan, paying cash upfront might be more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if your deductible has not yet been met.
To ensure you are receiving the best possible rate, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Do not accept a summary bill as your final invoice; instead, demand a detailed statement showing specific CPT codes and unit costs to identify any discrepancies. Additionally, ask the billing department about prompt-pay discounts, which can reduce your bill by 20% to 50% if paid in full within 30 days, bypassing the administrative costs associated with insurance claims processing. If you are using insurance,