CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Joseph Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $365
  • Cash Discount Price: $347
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Joseph Medical Center is $365. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $347. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 1000 Carondelet Dr, Kansas City, MO.
Cash / Self-Pay
$347

Average discount available for prompt cash payment at this facility.

Insurance Median
$365

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $347 (97%)
Insurance Median: $365 (102%)
Cash: $347 (97% of Medicare)
Ins. Median: $365 (102% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

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 $207 - $1,094 58%
Medicaid / KanCare $304 85%
Home State $347 - $556 97%
Aetna $348 - $555 98%
Cigna $348 98%
Medicare (plans) $348 - $365 98%
Pace Kc (Swope Health Services) $348 98%
Tricare $348 98%
Veterans Evaluation Services $348 98%
Healthy Blue $365 - $405 102%
Kansas Superior $365 102%
Nhc Advantage $382 107%
Blue Cross Blue Shield $482 - $643 135%
Employer Direct Healthcare $487 137%
6 Degrees $695 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Carondelet Dr, Kansas City, MO 64114
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals