CT scan, abdomen and pelvis (no contrast)
Facility: Grisell Memorial Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $662
- Cash Discount Price: $721
- vs. Medicare Baseline: 2.72x 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 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.
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.