CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Nkc Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $940
Cash Discount Price: $1,075
vs. Medicare Baseline: 2.64x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Nkc Health is $940. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,075. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.64x the Medicare baseline. Located in 2800 Clay Edwards Drive, North Kansas City, MO.

Cash / Self-Pay

$1,075

Average discount available for prompt cash payment at this facility.

Insurance Median

$940

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: $1,075 (302%)

Insurance Median: $940 (264%)

Cash: $1,075 (302% of Medicare)

Ins. Median: $940 (264% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 264% of the Medicare baseline (a markup of 164%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$236 - $2,495	66%
Ambetter / Centene	$314	88%
UnitedHealthcare	$349 - $953	98%
Humana	$358	100%
Occunet Network	$720 - $774	202%
Centivo	$786	221%
Centrus Health Direct	$786 - $926	221%
Wellfit	$786 - $821	221%
Oscar	$1,233 - $1,376	346%
Aetna	$1,382 - $4,908	388%
Cigna	$1,743	489%
Quiktrip	$2,225	624%
Multiplan	$2,596 - $2,966	728%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,075.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Nkc Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.