CT scan, abdomen and pelvis (with contrast)
Facility: Phillips County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $579
- Cash Discount Price: $544
- vs. Medicare Baseline: 1.62x 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 | $480 - $518 | 135% |
| UnitedHealthcare | $512 - $640 | 144% |
| Medicaid / KanCare | $640 | 180% |
| Health Partners-All Plans | $640 | 180% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Phillips County Hospital in Phillipsburg, Kansas, the cash median price is $544.00, which is lower than the facility's gross charge of $640.00. While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans or those without insurance may find the cash price more affordable than the negotiated rates charged to insurance payers. The data shows that Blue Cross Blue Shield pays a low of $480 and UnitedHealthcare pays as high as $640, meaning the cash rate could be cheaper for some patients. It is important to verify if your specific plan has a deductible that has already been met, as paying the full negotiated rate before meeting that threshold can result in significant out-of-pocket costs.
To ensure you are not overcharged, always request an itemized bill before paying, as summary bills often hide errors or unbundled charges. If you receive a balance bill for an out-of-network service, remember that the No Surprises Act generally protects you from paying the difference between the provider's full rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Additionally, ask the billing department about prompt-pay discounts, which can reduce your total cost by 20% to 50% if you pay in full upfront, bypassing the administrative costs associated with insurance claims processing.