CT scan, abdomen and pelvis (with contrast)
Facility: Bob Wilson Memorial Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $4,174
- Cash Discount Price: $2,044
- vs. Medicare Baseline: 11.71x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1171% of the Medicare baseline (a markup of 1071%). 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 |
|---|---|---|
| Centura Employee Plan | $337 | 95% |
| Blue Cross Blue Shield | $641 | 180% |
| UnitedHealthcare | $1,635 - $4,261 | 459% |
| Aetna | $1,635 - $4,088 | 459% |
| Humana | $1,635 | 459% |
| Kansas Health | $1,635 | 459% |
| Medicare (plans) | $1,635 | 459% |
| Multiplan | $4,599 - $4,752 | 1290% |
| Health Partners Of Kansas | $4,803 | 1348% |
| Wppa | $4,854 | 1362% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $2,044, which is significantly lower than the median negotiated rate of $4,174 paid by insurance plans. While Medicare sets a benchmark of $356.43 for this service, commercial payers negotiate rates that range widely, with UnitedHealthcare and Aetna offering a spread between $1,635 and $4,261. Patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $2,044, as paying out-of-pocket could result in immediate savings compared to the administrative costs and higher allowed amounts associated with insurance billing.
To maximize potential savings, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling the procedure, as these upfront fee reductions can lower the final cost by 20% to 50%. It is important to verify that the facility is in-network for your specific plan to avoid balance billing, though the No Surprises Act protects patients from surprise out-of-network charges for emergency care and non-emergency services at in-network facilities. Given that over 80% of hospital bills contain errors, receiving a detailed, itemized statement of charges is essential to identify any unbundled codes or services not rendered, ensuring the final amount reflects the accurate cost of care rather than inflated summary totals.