CT scan, abdomen and pelvis (with contrast)
Facility: Memorial Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,486
- Cash Discount Price: $2,703
- vs. Medicare Baseline: 4.17x 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 417% of the Medicare baseline (a markup of 317%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $484 | 136% |
| Tricare | $1,351 | 379% |
| Humana | $1,351 | 379% |
| Medicare (plans) | $1,365 | 383% |
| Ambetter / Centene | $1,486 | 417% |
| Coventry - All Other Plans | $2,432 | 682% |
| Health Partners Of Kansas - All Plans | $2,567 | 720% |
| Preferred Healthcare-All Plans | $2,567 | 720% |
| Wppa/Providers Care-All Plans | $3,784 | 1062% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Memorial Hospital in Abilene, KS, the cash price is $2,703.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average, as indicated by a 4.2x markup relative to the Medicare benchmark of $356.43. While commercial insurance plans like Blue Cross Blue Shield and Tricare negotiate rates around $1,351 to $1,486, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can be more cost-effective than relying on insurance, provided the patient qualifies for the cash price.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is crucial to request a waiver of insurance submission to ensure the facility processes the account as a self-pay case rather than submitting a claim that would void the cash discount. Additionally, since this facility is a Critical Access Hospital owned by a government authority, patients should review their itemized bill carefully to ensure no balance billing occurs, as federal protections generally prevent unexpected charges for out-of-network services at in-network facilities.