CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cheyenne County Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $732
  • Cash Discount Price: $655
  • vs. Medicare Baseline: 3.00x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cheyenne County Hospital is $732. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.00x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$655

Average discount available for prompt cash payment at this facility.

Insurance Median
$732

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $655 (269%)
Insurance Median: $732 (300%)
Cash: $655 (269% of Medicare)
Ins. Median: $732 (300% of 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 300% of the Medicare baseline (a markup of 200%). 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
Blue Cross Blue Shield $453 186%
UnitedHealthcare $479 - $770 196%
First Health - All Plans $539 221%
Tricare $554 227%
Aetna $554 - $732 227%
Healthy Blue Mcr Adv $554 227%
Choice Care - All Plans $560 230%
Firstguard - All Plans $616 253%
Wppa - All Plans $693 284%
Cpm - All Plans $732 300%
Preferred Hc - All Plans $732 300%
Midlands Choice - All Plans $747 306%
Unicare - All Plans $755 310%
Health Partners - All Plans $755 310%
Integrated Hp - All Plans $755 310%
Ppo Next - All Plans $755 310%
Childrens Mercy - All Plans $770 316%
Healthy Blue Mcaid - All Other Plans $770 316%
Healthwave Mcaid - All Plans $770 316%
Providers Care-All Plans $1,155 474%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis without contrast at Cheyenne County Hospital in St. Francis, KS, the facility's cash price is $655, which is lower than the state average of $693. While the hospital's negotiated rates with insurance plans range from $453 to $1,155 depending on the carrier, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds $655. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the cash price; therefore, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not charged the full negotiated amount.

This service is categorized under Critical Access Hospitals, and the facility's cash rate of $655 is notably lower than the Medicare benchmark of $243.77 when adjusted for the facility's specific cost structure, though the direct comparison shows the cash price is $411.23 higher than the base Medicare amount. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, which may hide unbundled codes or services not rendered. If a patient receives a balance bill from an out-of-network provider, they should not pay immediately but instead dispute the charge with their insurer under the No Surprises Act, as federal protections often prevent patients from being billed for the difference between the provider's chargemaster and the allowed amount.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals