CT scan, abdomen and pelvis (with contrast)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $855
- Cash Discount Price: $760
- vs. Medicare Baseline: 2.40x 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 240% of the Medicare baseline (a markup of 140%). 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 | $430 - $453 | 121% |
| UnitedHealthcare | $855 - $950 | 240% |
| Providers Care (Wppa)-All Plans | $1,662 | 466% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median price of $760.00 is lower than the state average for this procedure. While the facility's negotiated rate for UnitedHealthcare is $855.00, which matches the median negotiated amount across all payers, patients with high-deductible plans might find the cash price more advantageous if their insurance allowed amount exceeds $760.00. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, so verifying the specific allowed amount with your insurer before scheduling is essential to avoid unexpected costs.
The Medicare benchmark for this service is $356.43, which serves as a scientifically validated cost baseline to evaluate pricing markups. The facility's cash rate of $760.00 represents a 2.4x markup relative to the Medicare amount, which is significantly higher than the typical fair pricing range of 120% to 150% of Medicare. To minimize debt, patients should request an itemized billing audit to ensure no errors, unbundled codes, or services not rendered are included in the final invoice, as over 80% of hospital bills contain such discrepancies. Additionally, asking about prompt-pay discounts before check-in can provide immediate liquidity incentives, potentially reducing the total amount owed if paid in full upfront.