CT scan, abdomen and pelvis (with contrast)
Facility: Lindsborg Community Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $2,473
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 6.94x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 694% of the Medicare baseline (a markup of 594%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $453 | 127% |
| Tricare | $1,270 | 356% |
| Coventry Mcr Adv | $1,283 | 360% |
| Cigna | $2,297 | 644% |
| Coventry Comm-All Other Plans | $2,432 | 682% |
| UnitedHealthcare | $2,432 | 682% |
| Multiplan-All Plans | $2,513 | 705% |
| Phcs Preferred-All Plans | $2,513 | 705% |
| Coventry Wc | $2,567 | 720% |
| Century Health-All Plans | $2,567 | 720% |
| Health Partners -All Plans | $2,567 | 720% |
| Wppa-All Plans | $2,567 | 720% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Lindsborg Community Hospital, the facility's cash price is $1,892, while the average negotiated rate across 12 payers is $2,473. This cash rate is notably lower than the facility's gross charge of $2,703 and significantly below the median negotiated amount paid by insurers. While commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead and network tiering, patients with high-deductible plans may find paying cash directly more economical if their insurance allowed amount exceeds the cash price. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can lead to substantial unexpected expenses.
The facility's pricing also compares favorably against the Medicare benchmark, which stands at $356.43 for this procedure. Although the cash price is higher than the Medicare rate, it remains well below the gross chargemaster, reflecting the facility's status as a Critical Access Hospital in Voluntary non-profit - Private ownership. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts prior to check-in, as these programs can reduce bills by 20% to 50% by bypassing costly insurance claims processing. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, you may be entitled to protections under the No Surprises Act, which prevents balance billing for emergency and non-emergency services; in such cases, you should dispute any surprise charges in writing rather than accepting summary bills that obscure individual line items.