CT scan, abdomen and pelvis (with contrast)
Facility: Wilson Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $701
- Cash Discount Price: $657
- vs. Medicare Baseline: 1.97x 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 |
|---|---|---|
| Blue Cross Blue Shield | $453 - $876 | 127% |
| UnitedHealthcare | $464 - $815 | 130% |
| Tricare | $464 | 130% |
| Humana | $464 | 130% |
| Aetna | $464 - $876 | 130% |
| Ambetter / Centene | $464 - $876 | 130% |
| Cigna | $701 | 197% |
| Health Partners-All Plans | $806 | 226% |
| Mulitplan-All Plans | $806 | 226% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Wilson Medical Center in Neodesha, KS, the negotiated rates across nine insurance plans range from $453 to $876, with a median negotiated amount of $701. This commercial rate is significantly higher than the facility's cash price of $657 and exceeds the state average by 200%. While insurance contracts cap charges at these negotiated levels, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the cash rate is lower than the insurer's allowed amount. To secure the best possible rate, it is advisable to contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives, which can further reduce the final cost before billing occurs.
The facility's Medicare benchmark of $356.43 serves as the objective baseline for evaluating pricing fairness, revealing that the commercial negotiated rates are approximately 200% of the Medicare amount. This markup is typical for commercial insurance contracts, which include administrative costs and risk adjustments beyond the base cost of care. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement before agreeing to any payment plan or signing consent waivers that might waive their rights to dispute out-of-network charges. If a balance bill arises from an out-of-network service, patients should not pay immediately but instead request a formal audit to ensure all charges are accurate and compliant with federal protections.