CT scan, abdomen and pelvis (with contrast)
Facility: William Newton Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $847
- Cash Discount Price: $2,353
- vs. Medicare Baseline: 2.38x 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 238% of the Medicare baseline (a markup of 138%). 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 | $456 - $847 | 128% |
| Triwest- All Plans | $822 | 231% |
| Ambetter / Centene | $847 - $2,353 | 238% |
| UnitedHealthcare | $847 - $2,118 | 238% |
| Providrs Care Nexus | $1,440 | 404% |
| Providrs Care - All Other Plans | $1,647 | 462% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at William Newton Hospital in Winfield, KS, the cash median price is $2,353.00, which matches the facility's gross charge. This rate is significantly higher than the state average, as indicated by a 2.4x markup relative to the Medicare benchmark of $356.43. While commercial insurance plans like Blue Cross Blue Shield and Triwest-All Plans negotiate lower rates ranging from $456 to $847, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can result in immediate savings compared to the insurance negotiated rate, provided the patient has not yet met their deductible.
To ensure you are receiving the most accurate pricing, it is crucial to request an itemized billing audit before finalizing payment, as summary bills often obscure individual charges or unbundled codes. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront, bypassing the administrative costs associated with insurance claims processing. Since this facility is a Critical Access Hospital owned by the local government, verifying the specific payment terms and potential discounts with the billing department prior to scheduling is essential to avoid unexpected costs.