CT scan, abdomen and pelvis (no contrast)
Facility: Rooks County Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,988
- Cash Discount Price: $1,656
- vs. Medicare Baseline: 8.16x 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 816% of the Medicare baseline (a markup of 716%). 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 | $480 | 197% |
| Celtic Mcr Adv | $1,038 | 426% |
| Veterans Admin - All Plans | $1,038 | 426% |
| Tricare | $1,038 | 426% |
| Celtic Comm - All Other Plans | $1,142 | 468% |
| Preferred Benefits Admin | $1,988 | 816% |
| UnitedHealthcare | $1,988 | 816% |
| Aetna | $1,988 | 816% |
| Health Partners - All Plans | $2,098 | 861% |
| Preferred Hlthcare - All Other Plans | $2,098 | 861% |
| Healthy Blue Mcaid - All Plans | $2,208 | 906% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Rooks County Health Center in Plainville, Kansas, the facility's cash price is $1,656, which is lower than the state average of $2,209. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna are set at $1,988, these amounts are still below the gross chargemaster price of $2,209. Patients with high-deductible plans may find paying the cash price of $1,656 more cost-effective than relying on insurance, as the negotiated rates often exceed the cash rate due to administrative overhead. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket can sometimes result in a lower total out-of-pocket cost compared to the insurance allowed amount.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary bills can obscure individual line items and potential errors. If you receive a balance bill for the difference between the provider's full rate and your insurance payment, you may have protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates commercial rates.