CT scan, abdomen and pelvis (no contrast)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $883
- Cash Discount Price: $505
- vs. Medicare Baseline: 3.62x 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 362% of the Medicare baseline (a markup of 262%). 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 |
|---|---|---|
| UnitedHealthcare | $223 | 91% |
| Ku Athletics [503200094] | $223 | 91% |
| Workers Comp [503999901] | $223 | 91% |
| Medicare (plans) | $227 | 93% |
| Blue Cross Blue Shield | $229 | 94% |
| Allwell [503200078] | $229 | 94% |
| Humana | $235 | 96% |
| Tricare | $235 | 96% |
| Triwest [503201703] | $235 | 96% |
| Centurion [5032000966] | $290 | 119% |
| Ambetter / Centene | $323 | 133% |
| Fort Hays State Student Athletes [5032000960] | $468 | 192% |
| Occunet [503999930] | $468 | 192% |
| 6 Degrees Health [503999050] | $557 | 228% |
| Advanced Medical Pricing Solutions [503301513] | $705 | 289% |
| Meritain Health [503200039] | $1,060 - $1,514 | 435% |
| Alt Wppa [5032000964] | $1,060 | 435% |
| Wppa [503200056] | $1,060 | 435% |
| Alt Carelon Behavioral Health [503200905] | $1,262 | 518% |
| First Health [5032000110] | $1,514 | 621% |
| National Assn Letter Carriers [503200019] | $1,514 | 621% |
| Aetna | $1,514 | 621% |
| Allied National [503999937] | $1,514 | 621% |
| Aha-Healthcare Preferred [503200050] | $1,514 | 621% |
| Cigna | $1,514 - $2,019 | 621% |
| Alt Meritain Health [503999911] | $1,514 | 621% |
| Php [503200005] | $1,514 | 621% |
| Correct Care Solutions [50311253] | $1,767 | 725% |
| Usa Managed Care [503999030] | $2,272 | 932% |
Consumer Guidance & Cost Commentary
This CT scan of the abdomen and pelvis (no contrast) at the University of KS Health System Great Bend Campus carries a gross charge of $2,524, with a Medicare benchmark of $243.77. While the facility's cash price of $505 is significantly lower than the gross charge, it remains higher than the state average for this procedure. For patients with high-deductible plans, paying the cash price of $505 upfront may be more cost-effective than using insurance, as many commercial payers have negotiated rates ranging from $223 to $2,272. Patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full within 30 days, bypassing the administrative costs associated with insurance claims.
Although the facility is an in-network location for most major insurers, the negotiated rates vary widely, with some plans paying as high as $2,272, which exceeds the cash price. It is important to note that even at in-network facilities, unexpected balance billing can occur if ancillary services like emergency physicians or lab tests are provided by out-of-network providers, though the No Surprises Act generally protects patients from such surprise bills for non-emergency care. To ensure accuracy, patients should request a full itemized bill before paying, as summary bills often obscure individual charges. If discrepancies are found, a formal written audit dispute should be sent to the billing supervisor to correct errors or unbundled codes before finalizing payment.