CT scan, abdomen and pelvis (with contrast)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,491
- Cash Discount Price: $3,494
- vs. Medicare Baseline: 4.18x 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 418% of the Medicare baseline (a markup of 318%). 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 |
|---|---|---|
| Medicaid / KanCare | $181 | 51% |
| Blue Cross Blue Shield | $531 - $1,491 | 149% |
| Tricare | $1,436 | 403% |
| Humana | $1,491 | 418% |
| Medadv_Uhc | $1,491 | 418% |
| Medadv_Allwell | $1,491 | 418% |
| Aetna | $1,491 | 418% |
| Va_Ccn | $1,491 | 418% |
| Medicare (plans) | $1,491 | 418% |
| Ambetter / Centene | $2,348 | 659% |
| Wppa_Providrscare | $3,867 | 1085% |
| United | $3,876 | 1087% |
| Hpk | $4,426 | 1242% |
| Cigna | $4,426 | 1242% |
| Coventry | $4,426 | 1242% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $3,494, while the median negotiated rate across 15 payers is $1,491. This negotiated rate is significantly lower than the facility's gross charge of $4,659, reflecting the impact of insurance contracts. However, for patients with high-deductible plans, the cash price of $3,494 may still be more affordable than the negotiated rate of $1,491 if their insurance deductible has not yet been met, as they would be responsible for the full negotiated amount rather than just their out-of-pocket maximum. It is important to note that while the facility is a Critical Access Hospital with government local ownership, patients should verify their specific plan's allowed amount before scheduling to ensure they are aware of their financial responsibility.
The Medicare benchmark for this procedure is $356.43, which serves as a baseline for evaluating the facility's pricing. The facility's cash median of $3,494 represents a substantial markup compared to the Medicare rate, illustrating the difference between the federal cost basis and commercial pricing. Additionally, the median paid amount of $3,168 suggests that even with insurance, patients may face balance billing if the provider bills the difference between the negotiated rate and the amount the insurer allowed, though the No Surprises Act generally protects patients from such surprise bills for emergency care and non-emergency services at in-network facilities. To minimize costs, patients should request a prompt-pay discount or self-pay rate before check-in, which can reduce the bill by 20%