CT scan, abdomen and pelvis (with contrast)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $5,956
- Cash Discount Price: $7,941
- vs. Medicare Baseline: 16.71x 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 1671% of the Medicare baseline (a markup of 1571%). 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 | $4,765 | 1337% |
| Americas Choice Provider Network | $5,559 | 1560% |
| Usa Managed Care Organization | $5,956 | 1671% |
| Quiktrip Corporation | $5,956 | 1671% |
| Provider Network Of America | $5,956 | 1671% |
| Velocity | $5,956 | 1671% |
| Multiplan-Phcs | $6,353 | 1782% |
| Prime Health Services | $6,750 | 1894% |
| Medincrease | $7,147 | 2005% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis with contrast at the Rehabilitation Hospital Of Overland Park, the cash price is $7,941.00, which matches the facility's gross charge and serves as the baseline for self-pay patients. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network have negotiated rates ranging from $4,765 to $6,750, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash rate directly more cost-effective than relying on insurance, as the negotiated rates can exceed the cash price. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket might result in immediate savings compared to the insurer's allowed amount.
The facility's pricing is significantly higher than the Medicare benchmark, which stands at $356.43 for this procedure, indicating a substantial markup typical of commercial healthcare pricing. Although the data does not provide specific county or state average comparisons, the wide variance in negotiated rates across different payers highlights the importance of checking for "self-pay" or "prompt-pay" discounts before check-in. To avoid unexpected balance billing, patients should request a waiver of insurance submission if paying cash and ensure they receive an itemized bill rather than a summary invoice. If you receive a bill that appears to include charges for services not rendered or unbundled components, you have the right to request a formal written audit dispute to correct errors before payment.