CT scan, abdomen and pelvis (with contrast)
Facility: Sheridan County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $662
- Cash Discount Price: $1,046
- vs. Medicare Baseline: 1.86x 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 Insurance | $633 | 178% |
| Blue Cross Blue Shield | $662 | 186% |
| UnitedHealthcare | $994 | 279% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Sheridan County Hospital in Hoxie, Kansas, the cash median price is $1,046. This rate is significantly higher than the state average, which is 1.9 times the Medicare benchmark of $356.43. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans might find the cash price more affordable than their insurance negotiated rate of $662, provided they have met their deductible. It is important to note that commercial payers like Celtic Insurance, Blue Cross Blue Shield, and UnitedHealthcare have specific negotiated rates ranging from $633 to $994, which may differ from the cash price depending on individual plan structures.
To ensure you are receiving the most accurate pricing, always request an itemized billing audit before finalizing payment, as summary bills can obscure individual charges and potential errors. If you choose to pay out-of-pocket, ask specifically about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, it is crucial to verify your plan's deductible status and network tiering to avoid unexpected costs. Comparing this facility's rates against the local county average and understanding the difference between the chargemaster, Medicare benchmark, and negotiated rates will help you make informed financial decisions regarding your healthcare expenses.