CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: The Children's Mercy Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$304

about 0.9× the $356 Medicare rate · typically $151–$797

modeled estimate · not a bill or quote

What this hospital charges insurers

$151

Below the fair price — a good deal

about $153 under the fair price · 0.4× Medicare

Medicare pays $356 Fair price $304 This hospital $151 Cash price $2,156 Hospital's list price $4,491

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Lowest price of the 9 MO hospitals we have prices for — a strong deal.

Cheapest $151 Priciest $320

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $304 (about 0.9× the $356 Medicare rate). The Children's Mercy Hospital charges insurers about $151, or about $2,156 in cash — below the fair price — a good deal. Located in Kansas City, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$73 - $5,863	20%
Blue Cross Blue Shieldmajor	$151 - $6,456	42%
Aetnamajor	$5,235 - $6,456	1469%
Cignamajor	$84 - $6,064	24%
Humanamajor	$169 - $5,802	47%
Health Net	$190 - $6,456	53%
HealthLink	$111 - $7,678	31%
Medica	$150 - $5,087	42%
+ 11 smaller / regional plans	$80 - $7,416

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,156), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm The Children's Mercy Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at The Children's Mercy Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.