CT scan, abdomen and pelvis (with contrast)
Facility: Scott County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,200
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.37x 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 337% of the Medicare baseline (a markup of 237%). 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 | $207 - $1,421 | 58% |
| Blue Cross Blue Shield | $480 | 135% |
| Humana | $628 | 176% |
| Wppa | $898 - $1,200 | 252% |
| Aetna | $1,346 | 378% |
Consumer Guidance & Cost Commentary
For the CPT code 74177, representing a CT scan of the abdomen and pelvis with contrast, Scott County Hospital in Scott City, KS, has a gross charge of $1,496.00. While the facility's negotiated rates range from $207 to $1,421 depending on the insurance carrier, the cash median is not available in the current data. It is important to note that cash-pay options can sometimes be more affordable for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost by bypassing administrative processing fees.
This procedure's pricing is evaluated against the Medicare benchmark of $356.43, which serves as the objective baseline for healthcare delivery costs. The facility's gross charge is 3.4 times the Medicare amount, reflecting the typical markup found in commercial billing structures where rates often average 200% to 300% of the Medicare rate. Since the data does not provide specific county or state average comparisons, patients should rely on the Medicare benchmark to understand the true cost of care. If you receive a bill, always request a full itemized CPT-coded statement to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.