CT scan, abdomen and pelvis (with contrast)
Facility: Wamego Health Center
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $120
- Cash Discount Price: $2,354
- vs. Medicare Baseline: 0.34x 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 - $313 | 20% |
| Aetna | $74 - $326 | 21% |
| Medicaid / KanCare | $74 - $326 | 21% |
| Providrs Care | $116 - $421 | 33% |
| Tricare | $483 | 136% |
| Blue Cross Blue Shield | $631 - $664 | 177% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Wamego Health Center in Wamego, KS, the cash median price is $2,354.00, which is significantly lower than the facility's gross charge of $5,885.00. While commercial payers like UnitedHealthcare, Aetna, and Medicaid/KanCare negotiate rates ranging from $71 to $326 per plan, these amounts are often higher than the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find paying the cash median directly more cost-effective than relying on insurance, especially if the negotiated allowed amount exceeds the cash rate. It is advisable to contact the facility directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment options can further reduce the final bill by bypassing the costly insurance claims cycle.
The facility's pricing is evaluated against the Medicare benchmark, which serves as the objective baseline for healthcare costs. The Medicare amount for this procedure is $356.43, and the facility's cash rate is approximately 6.6 times higher than this federal rate, reflecting the typical markup found in commercial pricing. Although the data does not provide specific state or county average comparisons for this specific CPT code, the significant difference between the Medicare rate and the cash price highlights the importance of understanding the true cost of care. To avoid unexpected charges, patients should request an itemized bill to verify that no unbundled codes or services not rendered are included, and they should dispute any balance bills immediately if they arise from out-of-network ancillary services, as federal protections under the No Surprises Act may