CT scan, abdomen and pelvis (with contrast)
Facility: Cloud County Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,567
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 7.20x 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 720% of the Medicare baseline (a markup of 620%). 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 |
|---|---|---|
| Aetna | $2,432 - $2,513 | 682% |
| Health Partners - All Plans | $2,567 | 720% |
| Pponext-All Plans | $2,567 | 720% |
| Mpi-All Plans | $2,567 | 720% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Cloud County Health Center in Concordia, KS, the facility's negotiated rate of $2,567 is significantly higher than the state average, which is 7.2% above the Medicare benchmark of $356.43. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40% compared to the true cost of care. Although the facility's cash median price of $1,892 is lower than the negotiated rate, this option may not be the most cost-effective choice for everyone; for patients with high-deductible plans where the insurance allowed amount exceeds the cash price, paying out-of-pocket could result in lower total costs, provided the patient has sufficient funds and does not need the insurance deductible to be met.
To ensure you are receiving the best possible rate, it is essential to verify your specific plan's negotiated amount before scheduling, as in-network rates can vary significantly between carriers even at the same facility. If you choose to pay directly, ask the billing department about their "prompt-pay" discount program, which typically offers a fee reduction of 20% to 50% for upfront payment and bypasses the costly claims processing cycle. Additionally, if you receive a bill after using insurance, request a full itemized audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected. Remember that the No Surprises Act protects you from balance billing for emergency care and non-emergency