CT scan, abdomen and pelvis (with contrast)
Facility: Kingman Healthcare Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $252
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.71x 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 |
|---|---|---|
| Healthy Blue | $252 | 71% |
| Medicaid / KanCare | $252 | 71% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Kingman Healthcare Center in Kansas, the median amount paid by insurance is $1,365, while the facility's median negotiated rate with payers like Healthy Blue and Medicaid/KanCare is $252. This significant difference highlights how commercial insurance contracts often cap payments well below the facility's standard billing rates. Although the facility is a Critical Access Hospital in a rural setting, the data indicates that cash-pay options are not listed for this service, meaning patients without insurance coverage would need to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling.
It is important to note that while Medicare rates for this procedure are $356.43, commercial insurance payments can sometimes exceed these benchmarks due to administrative costs and network tiering. Patients should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, but unexpected charges can still occur if ancillary services like labs are billed separately. To ensure accuracy, consumers should request a full itemized bill rather than accepting a summary invoice, as hospitals may bundle charges or include services not rendered. If you receive a bill that seems inconsistent with the $252 negotiated rate or the Medicare benchmark, you have the right to dispute the charges in writing to avoid unnecessary debt.