CT scan, abdomen and pelvis (no contrast)
Facility: Ellinwood District Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $413
- Cash Discount Price: $502
- vs. Medicare Baseline: 1.69x 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.
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 | $413 | 169% |
| Humana | $413 | 169% |
| Blue Cross Blue Shield | $413 | 169% |
| Aetna | $413 | 169% |
| Cigna | $413 | 169% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Ellinwood District Hospital in Kansas, the negotiated rate for all five major payers is $413, which matches the median negotiated amount. This rate is significantly higher than the cash price of $502, meaning patients with high-deductible plans or those paying out-of-pocket might find the cash option more affordable if they can secure a self-pay or prompt-pay discount. It is important to note that while the facility is a Critical Access Hospital in Ellinwood, KS, the data does not provide specific county or state average comparisons for this procedure, so the $413 negotiated rate should be viewed as the standard in-network amount for this location.
The Medicare benchmark for this service is $243.77, which serves as a baseline to evaluate the facility's pricing markup. The negotiated rate of $413 represents a 1.7x multiplier compared to the Medicare amount, which is consistent with typical commercial pricing structures where rates often range between 200% and 300% of Medicare. If you are concerned about balance billing, be aware that the No Surprises Act generally protects patients from unexpected out-of-network charges at in-network facilities, though it is advisable to request an itemized bill to ensure no unbundled codes or services not rendered are included. To minimize costs, patients should verify their deductible status before scheduling and ask the hospital directly about prompt-pay discounts or self-pay rates prior to check-in.