CT scan, abdomen and pelvis (with contrast)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $657
- Cash Discount Price: $684
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| Humana | $394 | 111% |
| Tricare | $426 | 120% |
| Aetna | $499 - $724 | 140% |
| UnitedHealthcare | $499 - $805 | 140% |
| Va Ccn - All Plans | $499 | 140% |
| Medicaid / KanCare | $499 - $805 | 140% |
| Ambetter / Centene | $549 | 154% |
| Blue Cross Blue Shield | $657 | 184% |
| Health Partners - All Plans | $765 | 215% |
| Healthy Blue Mcaid - All Plans | $805 | 226% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Trego County Lemke Memorial Hospital in Wakeeney, KS, the facility's cash price is $684.00, which is lower than the gross charge of $805.00. While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying cash directly more affordable than using insurance, as the negotiated rates for major payers like UnitedHealthcare and Medicaid/KanCare range from $499 to $805. Since the cash price is below the median negotiated rate of $657.00, self-pay offers a clear financial advantage. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative costs associated with insurance claims.
The facility's pricing is significantly higher than the Medicare benchmark of $356.43, with a markup ratio of 1.8 times the Medicare rate. This aligns with the typical commercial pricing structure where negotiated rates often exceed the true cost of care, though the cash price remains competitive. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their itemized bills carefully to ensure no unbundled codes or services not rendered are included. If a discrepancy arises, a formal written audit dispute should be sent to the billing supervisor rather than settling verbally, as over 80% of hospital bills contain errors that can be corrected.