CT scan, abdomen and pelvis (with contrast)
Facility: Hiawatha Community Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,815
- Cash Discount Price: $3,613
- vs. Medicare Baseline: 7.90x 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 790% of the Medicare baseline (a markup of 690%). 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 | $456 - $480 | 128% |
| UnitedHealthcare | $1,337 - $3,104 | 375% |
| Aetna | $1,337 - $2,919 | 375% |
| Humana | $1,350 | 379% |
| Ambetter / Centene | $1,604 | 450% |
| Centrus Health Direct - All Plans | $2,710 | 760% |
| Oscar - All Plans | $2,710 | 760% |
| Preferred Hlth - All Plans | $3,252 | 912% |
| Cigna | $3,432 | 963% |
| Wppa Providrs Care - All Plans | $3,432 | 963% |
| Midlands Choice - All Plans | $3,505 | 983% |
| Multiplan - All Plans | $3,505 | 983% |
| Healthy Blue Mcaid - All Plans | $3,613 | 1014% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Hiawatha Community Hospital in Hiawatha, KS, the cash price is $3,613, which matches the facility's gross charge. This rate is significantly higher than the state average for this procedure, as indicated by the 7.9% variance against the Medicare benchmark. While commercial insurance plans like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates ranging from $456 to $3,432, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying out-of-pocket can result in immediate savings, provided you confirm the facility's "self-pay" or "prompt-pay" discounts before scheduling to avoid being billed the full negotiated amount by your insurer.
Patients should be aware that commercial negotiated rates often include administrative overhead and do not represent the lowest possible cost for the service. Since Medicare rates serve as a scientifically validated baseline for the true cost of care, comparing your specific plan's allowed amount to the Medicare rate of $356.43 reveals the extent of the markup. If you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to request an itemized audit to identify errors such as unbundled codes or services not rendered. Furthermore, if you are facing a balance bill, you may be eligible for protections under the No Surprises Act, which prohibits providers from charging you the difference between their full rate and what your insurance pays for emergency or non-emergency services at an in-network facility.