CT scan, abdomen and pelvis (with contrast)
Facility: Clay County Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $193
- Cash Discount Price: $2,080
- vs. Medicare Baseline: 0.54x 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 |
|---|---|---|
| Health Partners - All Plans | $75 - $3,760 | 21% |
| Multiplan- All Plans | $85 - $3,760 | 24% |
| UnitedHealthcare | $113 - $3,760 | 32% |
| Aetna | $188 - $3,680 | 53% |
| Wppa/Providrs Care- All Plans | $188 - $3,680 | 53% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Clay County Medical Center in Clay Center, Kansas, the cash price is $2,080. This rate aligns exactly with the facility's cash median, which is also $2,080. While the facility is a Critical Access Hospital owned by the local government, the negotiated rates for in-network payers like Health Partners, Multiplan, and UnitedHealthcare range from $75 to $3,760, with a median negotiated amount of $193. It is important to note that for patients with high-deductible plans, paying the cash price of $2,080 upfront can sometimes be more cost-effective than relying on insurance, as the insurer's allowed amount may exceed the cash rate. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service.
When evaluating the cost, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross charges. The Medicare amount for this procedure is $356.43, and the facility's cash price represents a 0.5 ratio relative to this federal rate. Although the data does not provide specific state or county average figures for comparison, the significant difference between the Medicare baseline and the cash price highlights the importance of understanding the markup. To avoid unexpected costs, patients should request a detailed, itemized bill to ensure no errors exist, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes. If a balance bill arises from