CT scan, abdomen and pelvis (with contrast)
Facility: Goodland Regional Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,835
- Cash Discount Price: $1,835
- vs. Medicare Baseline: 5.15x 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 515% of the Medicare baseline (a markup of 415%). 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 | $458 | 128% |
| Wppa | $1,733 - $1,835 | 486% |
| UnitedHealthcare | $1,835 | 515% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Goodland Regional Medical Center in Goodland, Kansas, the cash median price is $1,835, which matches the median negotiated rate for in-network payers like Wppa and UnitedHealthcare. This facility, a Critical Access Hospital owned by the local government, lists a gross charge of $2,039, but patients can expect to pay significantly less if they pay out-of-pocket. While the data does not provide a specific county or state average for comparison, it is important to note that cash-pay rates are often lower than the negotiated rates commercial insurers pay, making upfront payment a potentially more cost-effective option for those with high-deductible plans.
The Medicare benchmark for this procedure is $356.43, which serves as a baseline to understand the facility's pricing structure. The facility's cash rate of $1,835 is 5.1 times the Medicare amount, reflecting the standard administrative and clinical costs associated with the service. To minimize costs, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals frequently offer fee reductions for upfront payments that bypass the higher administrative costs of insurance billing. Additionally, since this is an in-network facility, the No Surprises Act protects patients from unexpected balance billing for out-of-network services, ensuring that the agreed-upon rates apply to the care received.