CT scan, abdomen and pelvis (with contrast)
Facility: Morris County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,682
- Cash Discount Price: $2,588
- vs. Medicare Baseline: 4.72x 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 472% of the Medicare baseline (a markup of 372%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $428 | 120% |
| Blue Cross Blue Shield | $456 - $1,682 | 128% |
| Va Ccn-All Plans | $1,682 | 472% |
| UnitedHealthcare | $1,682 - $4,314 | 472% |
| Choice Care Mcr Adv-All Plans | $1,682 | 472% |
| Coventry Mcr | $1,682 | 472% |
| Cigna | $3,121 | 876% |
| Aetna | $3,865 | 1084% |
| Coventry Comm-All Other Plans | $3,883 | 1089% |
| Multiplan-All Plans | $3,883 | 1089% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Morris County Hospital in Council Grove, KS, the facility's cash median price of $2,588 is significantly higher than the state average of $2,402. While the hospital is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates vary widely, ranging from $428 to $4,314 depending on the payer. Notably, several major payers, including Blue Cross Blue Shield and UnitedHealthcare, have negotiated rates that exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. To secure the lowest possible cost, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
When evaluating the cost of this service, it is important to compare the facility's pricing against the Medicare benchmark rather than the inflated chargemaster list. The Medicare amount for this procedure is $356.43, and the facility's cash rate represents a markup of 4.7 times the Medicare amount, which is substantially higher than the typical fair pricing range of 120% to 150% of Medicare. Because the hospital is in-network for many payers, patients may face balance billing if their specific plan allows the provider to bill the difference between the negotiated rate and their allowed amount, though the No Surprises Act offers protections against surprise bills for out-of-network providers at in-network facilities. To ensure accuracy, patients should request a full