CT scan, abdomen and pelvis (with contrast)
Facility: Republic County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,104
- Cash Discount Price: $900
- vs. Medicare Baseline: 3.10x 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 310% of the Medicare baseline (a markup of 210%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $1,020 | 286% |
| Meritain-All Plans | $1,080 | 303% |
| Aetna | $1,080 | 303% |
| UnitedHealthcare | $1,104 | 310% |
| Midlands Choice-All Plans | $1,140 | 320% |
| First Health-All Plans | $1,140 | 320% |
| Cigna | $1,140 | 320% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Republic County Hospital in Belleville, Kansas, the facility's cash median price is $900.00, which is lower than the state average of $1,080.00. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. In this case, the median negotiated rate across seven payers is $1,104.00, meaning that for patients with high-deductible plans or those without insurance, paying the cash price of $900.00 directly could result in significant savings compared to the insurance allowed amount.
The facility's pricing is also notable when compared to the Medicare benchmark, which serves as a scientifically validated baseline for healthcare costs. The Medicare amount for this procedure is $356.43, and the facility's cash rate is approximately 2.5 times the Medicare amount, while the median negotiated rate is roughly 3.1 times the Medicare amount. This highlights that commercial rates are often marked up significantly above the federal cost basis. To maximize value, patients are encouraged to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, asking about prompt-pay discounts or self-pay rates prior to scheduling can help avoid unexpected balance billing or higher insurance-driven charges.