CT scan, abdomen and pelvis (no contrast)
Facility: Jewell County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,140
- Cash Discount Price: $900
- vs. Medicare Baseline: 4.68x 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 468% of the Medicare baseline (a markup of 368%). 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 |
|---|---|---|
| Rural Carriers - All Plans | $1,020 | 418% |
| Meritain - All Plans | $1,080 | 443% |
| Aetna | $1,080 | 443% |
| Cigna | $1,140 | 468% |
| First Health - All Plans | $1,140 | 468% |
| UnitedHealthcare | $1,140 | 468% |
| Midlands Choice - All Plans | $1,140 | 468% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Jewell County Hospital in Mankato, KS, the facility's negotiated rate of $1,140 is significantly higher than the cash price of $900. While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans might find paying the cash price of $900 more cost-effective if their insurance negotiated rate exceeds this amount. It is important to note that commercial payers like Aetna, Cigna, and UnitedHealthcare are all negotiating at the same $1,140 rate, which is notably higher than the cash option.
To avoid unexpected costs, patients should verify if they qualify for a "prompt-pay" discount by asking the hospital for a self-pay rate before scheduling, as paying upfront can sometimes bypass administrative fees. Additionally, if you are out-of-network or receive services from an out-of-network provider at this in-network facility, you may be subject to balance billing for the difference between the allowed amount and the full charge; however, the No Surprises Act protects you from such surprise bills for emergency and non-emergency care. Finally, always request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.