CT scan, abdomen and pelvis (no contrast)
Facility: St. Catherine Hospital - Garden City
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $540
- Cash Discount Price: $2,969
- vs. Medicare Baseline: 2.22x 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 $243.77 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 222% of the Medicare baseline (a markup of 122%). 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 |
|---|---|---|
| Medicare (plans) | $90 - $105 | 37% |
| Humana | $90 - $105 | 37% |
| Aetna | $90 - $3,826 | 37% |
| Kaiser | $90 - $2,838 | 37% |
| Kansas Health | $90 | 37% |
| Cigna | $90 - $585 | 37% |
| Blue Cross Blue Shield | $90 - $569 | 37% |
| UnitedHealthcare | $90 - $2,814 | 37% |
| Innovage | $105 | 43% |
| Devoted Health | $105 | 43% |
| Centura Employee Plan | $337 | 138% |
| Direct To Employer | $461 - $4,121 | 189% |
| United Colorado Doctor'S Plan | $518 | 212% |
| Peak Health | $619 - $4,018 | 254% |
| Multiplan | $1,065 - $8,756 | 437% |
| Denver Health | $2,431 | 997% |
| Wpaa | $3,182 | 1305% |
| Christian Health Aid | $3,637 | 1492% |
| Health Partners Of Kansas | $4,410 | 1809% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at St. Catherine Hospital in Garden City, Kansas, the facility's cash median price is $2,969, which is significantly higher than the state average of $369. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $90 to over $4,000 depending on the specific plan, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rate could be substantially higher. It is important to verify the specific allowed amount with your insurer before scheduling, as some plans may have different caps or tiered pricing structures that affect out-of-pocket costs.
The facility's Medicare benchmark rate is $243.77, which serves as a baseline for evaluating the markup on commercial charges. Commercial negotiated rates at this location vary widely, with some plans paying as little as $90 and others up to $8,756, reflecting the complex dynamics of insurance contracts and network tiers. To minimize potential balance billing or unexpected charges, patients should request an itemized bill before payment to ensure all services rendered are accurately coded and no unbundled charges exist. Additionally, inquiring about prompt-pay discounts or self-pay rates prior to check-in can help secure the lowest possible price, as hospitals often offer reduced fees for upfront payments that bypass the administrative costs associated with insurance claims processing.