CT scan, abdomen and pelvis (no contrast)
Facility: Kearny County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,300
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 9.44x 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 944% of the Medicare baseline (a markup of 844%). 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 |
|---|---|---|
| Meritain Health | $1,500 | 615% |
| Blue Cross Blue Shield | $2,300 | 944% |
| Kansas Solutions | $2,300 | 944% |
| Humana | $2,300 | 944% |
| UnitedHealthcare | $2,300 | 944% |
| Wps Gha - Mac J5 Part A | $2,300 | 944% |
| Community Care Health Plan Of | $2,300 | 944% |
| Aetna | $2,300 - $4,600 | 944% |
Consumer Guidance & Cost Commentary
For patients at Kearny County Hospital in Lakin, KS, the billed amount for a CT scan of the abdomen and pelvis (no contrast) is $2,300, which matches the facility's median negotiated rate across most major payers. While the hospital's cash median is not listed, it is important to note that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount exceeds the cash price. Since this facility is a Critical Access Hospital owned by the local government, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower out-of-pocket costs by bypassing administrative processing fees.
The price transparency data indicates that the negotiated rate of $2,300 is substantially higher than the Medicare benchmark of $243.77, reflecting the typical markup found in commercial insurance contracts. Although the data does not provide specific county or state average comparisons for this specific CPT code, the significant gap between the Medicare rate and the commercial negotiated rate highlights the importance of understanding the difference between the facility's chargemaster and the actual amount your insurance will pay. To avoid unexpected costs, consumers should verify their specific plan's deductible status and request an itemized bill to ensure no errors or unbundled charges are present, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.