CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Susan B Allen Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $635
  • Cash Discount Price: $741
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Susan B Allen Memorial Hospital is $635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $741. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.78x the Medicare baseline. Located in 720 W Central St, El Dorado, KS.
Cash / Self-Pay
$741

Average discount available for prompt cash payment at this facility.

Insurance Median
$635

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: $741 (208%)
Insurance Median: $635 (178%)
Cash: $741 (208% of Medicare)
Ins. Median: $635 (178% 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 $350 98%
Providrs Care $919 258%

Consumer Guidance & Cost Commentary

For this CT scan of the abdomen and pelvis at Susan B Allen Memorial Hospital in El Dorado, KS, the cash price is $741.00, which is lower than the facility's gross charge of $1,140.00. While the hospital's negotiated rates with UnitedHealthcare ($350) and Providrs Care ($919) are significantly higher than the cash price, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allowed amount exceeds the cash rate. It is important to note that the facility's negotiated rates are 1.8 times the Medicare benchmark of $356.43, indicating a markup typical of commercial contracts. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing.

The data indicates two specific payers with single plan averages, but no state or county average figures were provided for comparison in this report. Consequently, while the cash rate of $741.00 is available for direct comparison against individual insurance allowed amounts, a broader regional context is not included here. Patients should be aware that balance billing is generally prohibited for emergency services under the No Surprises Act, though unexpected charges can still occur from out-of-network ancillary services like labs or emergency physicians. If a patient receives a large bill after insurance processing, they should request a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through formal written disputes.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 720 W Central St, El Dorado, KS 67042
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals