CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Grisell Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $662
  • Cash Discount Price: $721
  • vs. Medicare Baseline: 2.72x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Grisell Memorial Hospital is $662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $721. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.72x the Medicare baseline. Located in 210 South Vermont Avenue, Ransom, KS.
Cash / Self-Pay
$721

Average discount available for prompt cash payment at this facility.

Insurance Median
$662

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $721 (296%)
Insurance Median: $662 (272%)
Cash: $721 (296% of Medicare)
Ins. Median: $662 (272% of 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 272% of the Medicare baseline (a markup of 172%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $430 176%
UnitedHealthcare $565 - $759 232%
Humana $759 311%
Medicaid / KanCare $759 311%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis without contrast at Grisell Memorial Hospital in Ransom, Kansas, the cash payment median is $721, which is lower than the facility's negotiated rates of $662 to $759 depending on the insurance carrier. While this facility is a Critical Access Hospital owned by a government hospital district, patients should verify if their specific insurance plan, such as Blue Cross Blue Shield or UnitedHealthcare, has negotiated rates that exceed the cash price; in such cases, paying out-of-pocket might result in lower costs. It is important to note that Medicaid/KanCare and Humana have fixed rates of $759, matching the facility's gross charge, whereas Blue Cross Blue Shield offers a single rate of $430 across two plans, significantly below the facility's standard billing.

To ensure you are receiving the most accurate pricing, always request an itemized bill before finalizing payment, as summary bills often obscure individual charges that could be disputed. If you choose to use insurance, be aware that commercial negotiated rates often include administrative overhead and may be higher than the Medicare benchmark of $243.77 for this procedure; the facility's rates are approximately 2.7 times the Medicare amount. Additionally, since this is a Critical Access Hospital, you may qualify for prompt-pay discounts if you settle the balance upfront, so it is advisable to contact the billing department directly to confirm self-pay rates and any available fee reductions before scheduling your appointment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals