CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cheyenne County Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$693

about 1.9× the $356 Medicare rate · typically $280–$1,545

modeled estimate · not a bill or quote

What this hospital charges insurers

$795

About the fair price

about $102 over the fair price · 2.2× Medicare

Medicare pays $356 Fair price $693 This hospital $795 Cash price $676 Hospital's list price $795

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 $795

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 $693 (about 1.9× the $356 Medicare rate). Cheyenne County Hospital charges insurers about $795, or about $676 in cash — about the fair price. Located in St Francis, KS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$572 - $795	160%
Blue Cross Blue Shieldmajor	$453	127%
Aetnamajor	$572 - $755	160%
HealthPartners	$779	219%
UniCare	$779	219%
+ 11 smaller / regional plans	$572 - $1,192

Government programs also on file: Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 676), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Cheyenne County Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cheyenne County Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other KS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.