CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Wichita County Health Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,144
  • Cash Discount Price: $1,003
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Wichita County Health Center is $1,144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,003. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.21x the Medicare baseline. Located in 211 E Earl Street, Leoti, KS.
Cash / Self-Pay
$1,003

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,144

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: $1,003 (281%)
Insurance Median: $1,144 (321%)
Cash: $1,003 (281% of Medicare)
Ins. Median: $1,144 (321% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 321% of the Medicare baseline (a markup of 221%). 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.

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
Medicaid / KanCare $1,035 290%
UnitedHealthcare $1,254 352%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis with contrast at Wichita County Health Center in Leoti, Kansas, the negotiated rates for Medicaid and UnitedHealthcare are identical at $1,035, while the cash median price is $1,003. This cash rate is approximately 3.2% higher than the Medicare benchmark of $356.43, which serves as the objective baseline for fair pricing. Although the facility is a Critical Access Hospital with government-local ownership, patients should verify if their specific insurance plan has a deductible that would require them to pay the full negotiated amount before coverage kicks in. If your plan has a high deductible, paying the cash price directly might be more cost-effective than relying on insurance, provided you can secure a prompt-pay discount by paying upfront.

To ensure you are not overcharged, it is crucial to request a detailed, itemized bill before finalizing payment, as summary bills often hide errors or unbundled charges. Since over 80% of hospital bills contain mistakes, asking for a line-by-line review can help identify services not rendered or unnecessary fees. Additionally, because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should not feel pressured to pay unexpected differences immediately; instead, request a formal audit dispute in writing if you believe the charges are incorrect. Always confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available prior to scheduling your appointment to avoid being locked into standard insurance processing rates.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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