CT scan, abdomen and pelvis (no contrast)
Facility: Wichita County Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,144
- Cash Discount Price: $1,003
- vs. Medicare Baseline: 4.69x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 469% of the Medicare baseline (a markup of 369%). 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 |
|---|---|---|
| Medicaid / KanCare | $1,035 | 425% |
| UnitedHealthcare | $1,254 | 514% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $1,003.00 is lower than the median negotiated rate of $1,144.00 and the gross charge of $1,254.00. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans or those without insurance may find the cash price more affordable than the amount their insurance would negotiate. It is important to note that commercial rates often include administrative overhead and do not reflect the true cost of care, which is better understood by comparing prices to the Medicare benchmark of $243.77.
Although the data indicates specific payment amounts for Medicaid/KanCare and UnitedHealthcare, patients should not assume that being in-network guarantees the lowest possible cost, as negotiated rates can sometimes exceed cash prices due to contract structures. To ensure you are not overcharged, always request a self-pay or prompt-pay discount before scheduling your visit, as these upfront payments can bypass costly insurance billing cycles and administrative fees. If you receive a bill, do not accept a summary invoice; instead, demand a full itemized statement to verify that no services were unbundled or double-charged, and consider disputing any balance billing if you were treated at an in-network facility by an out-of-network provider.