CT scan, abdomen and pelvis (with contrast)
Facility: Osborne County Memorial Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,253
- Cash Discount Price: $1,176
- vs. Medicare Baseline: 3.52x 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 352% of the Medicare baseline (a markup of 252%). 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 |
|---|---|---|
| UnitedHealthcare | $1,052 | 295% |
| Health Partners Of Kansas | $1,190 | 334% |
| Wppa | $1,315 | 369% |
| Blue Cross Blue Shield | $1,356 | 380% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Osborne County Memorial Hospital in Osborne, KS, the facility's cash price of $1,176.00 is notably lower than the state average for this procedure. While the hospital's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $1,052 to $1,356, these amounts often exceed the cash price, meaning patients with high-deductible plans or those without insurance could save money by paying out-of-pocket. It is important to verify your specific plan's deductible status before scheduling, as paying the negotiated rate may not be cost-effective if your deductible has not yet been met. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The Medicare benchmark for this service is $356.43, which serves as a critical baseline for evaluating the facility's pricing markup. The hospital's cash rate of $1,176.00 represents a significant increase over the Medicare amount, reflecting the administrative costs and profit margins inherent in commercial billing structures. To ensure you are not overcharged, request a full itemized bill that breaks down every CPT code and charge, as summary bills often obscure errors or unbundled services. If you receive a balance bill from an out-of-network provider or ancillary services, you may have protections under the No Surprises Act; in such cases, do not pay immediately and instead dispute the bill in writing to request an audit.