CT scan, abdomen and pelvis (with contrast)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $330
- Cash Discount Price: $1,231
- vs. Medicare Baseline: 0.93x 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.
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 | $71 - $925 | 20% |
| Medicaid / KanCare | $74 - $326 | 21% |
| Aetna | $74 - $326 | 21% |
| Providrs Care | $116 - $421 | 33% |
| Va | $330 | 93% |
| Humana | $330 - $334 | 93% |
| Medicare (plans) | $330 - $337 | 93% |
| Smarthealth | $462 | 130% |
| Tricare | $483 | 136% |
| Blue Cross Blue Shield | $520 - $548 | 146% |
| Ambetter / Centene | $561 | 157% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast (CPT 74177) at Ascension Via Christi Hospital Manhattan, the facility's cash median rate is $1,231.00, which is significantly lower than the negotiated rates paid by most insurance payers. While the facility's negotiated average is $330.00, this figure represents the amount insurers agree to pay, not the final cost to the patient. For patients with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to having insurance cover the service, as the negotiated rate often exceeds the cash price. It is important to note that the facility's cash rate is higher than the state average for this procedure, so patients should verify if their specific insurance plan offers a lower allowed amount before scheduling.
The Medicare benchmark for this service is $356.43, which serves as a reliable baseline for evaluating the facility's pricing. The facility's negotiated rate of $330.00 is slightly below the Medicare amount, indicating a competitive pricing structure relative to federal standards. However, patients should be aware of balance billing risks if they receive care from out-of-network providers, where the hospital could bill the difference between the full chargemaster rate and the insurance allowed amount. To avoid unexpected costs, patients should request an itemized bill to ensure no unbundled charges or services not rendered are included, and they should ask about prompt-pay discounts before check-in to potentially reduce the final balance.