CT scan, abdomen and pelvis (no contrast)
Facility: Lane County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $950
- Cash Discount Price: $950
- vs. Medicare Baseline: 3.90x 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 390% of the Medicare baseline (a markup of 290%). 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 |
|---|---|---|
| Aetna | $855 - $902 | 351% |
| UnitedHealthcare | $855 - $950 | 351% |
| Healthy Blue Mcaid | $950 | 390% |
| Healthy Blue Mcr Adv - All Other Plans | $950 | 390% |
| Medicaid / KanCare | $950 - $1,045 | 390% |
| Wppa Providers-All Plans | $1,425 | 585% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Lane County Hospital in Dighton, KS, the cash and median negotiated rates are both $950. This amount matches the gross charge and aligns with the cash median, while the Medicare benchmark for this procedure is $243.77. When compared to the state average, the facility's rate is 3.9 times higher than the Medicare reimbursement rate, which serves as the objective baseline for healthcare costs. While commercial payers like Aetna and UnitedHealthcare have negotiated ranges starting at $855, the cash price remains consistent at $950, suggesting that for patients with high-deductible plans, paying out-of-pocket may be more cost-effective than relying on insurance, which could result in higher allowed amounts or deductibles.
Patients should be aware that hospitals often offer prompt-pay discounts, typically ranging from 20% to 50%, for those who settle their bill in full upfront, which can bypass administrative fees and reduce the total cost. However, to secure these discounts, it is essential to request self-pay classification and prompt-pay rates before check-in and sign a waiver of insurance submission to prevent automatic claims processing. Additionally, under the No Surprises Act, patients are protected from balance billing for emergency care and non-emergency services at in-network facilities, though they should still review their itemized bill for any unbundled codes or services not rendered to ensure accuracy before finalizing payment.