CT scan, abdomen and pelvis (with contrast)
Facility: Children'S Mercy South
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $955
- Cash Discount Price: $2,156
- vs. Medicare Baseline: 2.68x 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 268% of the Medicare baseline (a markup of 168%). 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 |
|---|---|---|
| UnitedHealthcare | $73 - $5,863 | 20% |
| Medicaid / KanCare | $80 - $242 | 22% |
| Healthy Blue | $80 - $955 | 22% |
| Home State Health | $83 - $839 | 23% |
| Cigna | $84 - $6,064 | 24% |
| Healthlink | $111 - $7,678 | 31% |
| Wppa Providrs Care | $111 - $5,671 | 31% |
| Health Midwest Comprehensive Care | $117 - $5,680 | 33% |
| American Healthcare Alliance | $121 - $7,416 | 34% |
| Medica | $150 - $5,087 | 42% |
| Blue Cross Blue Shield | $151 - $6,456 | 42% |
| Wellfit/Centrus | $162 - $5,671 | 45% |
| Centivo | $167 - $5,671 | 47% |
| Humana | $169 - $5,802 | 47% |
| Orscheln | $171 - $5,671 | 48% |
| Nebraska Furniture Mart | $171 - $5,671 | 48% |
| Mercy Health | $188 - $6,544 | 53% |
| Coxhealth Network | $190 - $6,456 | 53% |
| National Preferred Provider Network | $226 - $7,852 | 63% |
| Aetna | $5,235 - $5,933 | 1469% |
| Quiktrip | $5,680 | 1594% |
| Coventry Health Care Of Kansas | $6,456 | 1811% |
| Multiplan | $6,631 | 1860% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Children's Mercy South in Overland Park, Kansas, the facility's cash median price is $2,156. This rate is significantly lower than the negotiated rates charged to most insurance payers, with the lowest negotiated amount being $73 and the highest reaching $7,852. While the facility's cash price is higher than the state average for this procedure, it remains well below the gross chargemaster rates listed by many insurers, which can range from $5,000 to nearly $8,000. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their specific insurance plan's negotiated rate, which varies widely across the 23 different payers represented in this report.
To ensure you are receiving the best possible rate, it is essential to request an itemized bill before finalizing payment, as summary bills often obscure individual charges and allow for errors or unbundled codes that inflate the total. Additionally, ask the billing department about "prompt-pay" discounts, which can reduce the cash price by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims. When comparing costs, remember that commercial negotiated rates often include significant administrative markups, so the most accurate benchmark for fair pricing is the Medicare rate of $356.43 for this service, rather than the facility's inflated gross charges.