CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Grisell Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $662
  • Cash Discount Price: $721
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with 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 $356.43, this hospital’s rate is 1.86x 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
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $721 (202%)
Insurance Median: $662 (186%)
Cash: $721 (202% of Medicare)
Ins. Median: $662 (186% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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.

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 $430 121%
UnitedHealthcare $565 - $759 159%
Medicaid / KanCare $759 213%
Humana $759 213%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis with contrast at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price is $721.00, which is lower than the state average of $759.00. While the hospital is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that paying cash upfront can sometimes result in lower out-of-pocket costs compared to insurance payments, particularly if your plan has a high deductible. The facility offers a prompt-pay discount for those who settle their bill in full before or shortly after the service, effectively bypassing administrative fees and claims processing costs that often inflate insurance rates.

Commercial insurance rates vary significantly by payer, with Blue Cross Blue Shield negotiating a fixed rate of $430.00 and UnitedHealthcare ranging from $565.00 to $759.00 depending on the specific plan. These negotiated amounts are generally higher than the cash price due to the administrative overhead and contract structures inherent in insurance billing. It is important to verify your specific plan's allowed amount before scheduling, as assuming that being in-network guarantees the lowest price is a common pitfall; some in-network facilities charge substantially more than others. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is always advisable to request an itemized bill to ensure no unexpected charges are included.

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