CT scan, abdomen and pelvis (no contrast)
Facility: Cheyenne County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $732
- Cash Discount Price: $655
- vs. Medicare Baseline: 3.00x 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 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.
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.