CT scan, abdomen and pelvis (no contrast)
Facility: Pratt Regional Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,796
- Cash Discount Price: $2,352
- vs. Medicare Baseline: 11.47x 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 1147% of the Medicare baseline (a markup of 1047%). 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 |
|---|---|---|
| Celtic Insurance Company | $227 | 93% |
| Healthy Blue | $234 | 96% |
| UnitedHealthcare | $250 - $3,427 | 103% |
| Christian Health Aid | $2,520 | 1034% |
| Health Partners Of Kansas | $2,856 | 1172% |
| Aetna | $3,024 | 1241% |
| Choicecare | $3,360 | 1378% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis at Pratt Regional Medical Center in Pratt, KS, the facility's cash median price is $2,352.00, which is lower than the gross charge of $3,360.00. While the facility's negotiated rates vary by insurer, with UnitedHealthcare ranging from $250 to $3,427 and Aetna at $3,024, these amounts are significantly higher than the cash price. It is important to note that commercial negotiated rates often average 200% to 300% of the Medicare benchmark, whereas fair pricing is typically defined as 120% to 150% of Medicare. In this case, the Medicare amount for this procedure is $243.77, highlighting that the cash price of $2,352.00 represents a substantial markup over the federal baseline, though it remains the lowest option among the listed payer rates.
Patients should be aware that insurance plans often pay negotiated rates that exceed the cash price, making self-pay or prompt-pay discounts a potentially more economical choice for those with high-deductible plans. The facility offers a cash median rate of $2,352.00, which is notably lower than the median negotiated rate of $2,796.00 across payers. To secure the best possible price, consumers are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount. Additionally, since the facility is in-network for the listed payers, the No