CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Wichita County Health Center

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$626
about 1.8× the $356 Medicare rate · typically $315–$1,389
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,254
Well above the fair price
about $628 over the fair price · 3.5× Medicare
Medicare pays $356 Fair price $626 This hospital $1,254 Cash price $1,003 Hospital's list price $1,254

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $151 Priciest $1,254

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $626 (about 1.8× the $356 Medicare rate). Wichita County Health Center charges insurers about $1,254, or about $1,003 in cash — well above the fair price. Located in Leoti, KS.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $626. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,254 352%
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 211 E Earl Street, Leoti, KS 67861
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals