CT scan, abdomen and pelvis (with contrast)
Facility: Hodgeman County Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,773
- Cash Discount Price: $2,015
- vs. Medicare Baseline: 4.97x 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 497% of the Medicare baseline (a markup of 397%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $435 - $458 | 122% |
| Humana | $1,612 | 452% |
| UnitedHealthcare | $1,612 - $2,393 | 452% |
| Triwest - All Plans | $1,612 | 452% |
| Medicaid / KanCare | $1,612 - $2,519 | 452% |
| Aetna | $2,015 | 565% |
| First Health - All Plans | $2,267 | 636% |
| Health Partners - All Plans | $2,393 | 671% |
| Wppa (Provdrscare) - All Plans | $2,393 | 671% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median price is $2,015.00, which is lower than the gross chargemaster rate of $2,519.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that insurance negotiated rates vary significantly; for instance, Blue Cross Blue Shield pays as low as $435, while Medicaid/KanCare plans pay up to the full gross amount of $2,519.00. Because commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40%, the cash price can sometimes be the most economical option for patients with high-deductible plans or those who have already met their out-of-pocket maximum. It is advisable to contact the hospital directly to confirm "self-pay" or "prompt-pay" discounts, which can further reduce the final cost before any insurance claim is processed.
When reviewing your bill, it is crucial to distinguish between summary invoices and detailed itemized statements, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a bill that only shows broad categories like "Laboratory" or "Pharmacy," you should demand a full itemized CPT-coded statement to identify any charges for services not rendered or components that should have been bundled. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network emergency services at in-network facilities, unexpected ancillary charges from out-of-network providers may still occur; in such cases, patients should dispute the