CT scan, abdomen and pelvis (no contrast)
Facility: F W Huston Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,704
- Cash Discount Price: $1,770
- vs. Medicare Baseline: 6.99x 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 699% of the Medicare baseline (a markup of 599%). 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 | $458 | 188% |
| Aetna | $1,660 | 681% |
| Humana | $1,748 | 717% |
| Cigna | $1,881 | 772% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at F W Huston Medical Center in Winchester, KS, the facility's cash median price is $1,770, which is lower than the negotiated rates charged by major insurers like Aetna ($1,660) and Cigna ($1,881). While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs than paying cash directly. Because the cash price is below the negotiated rates for these payers, individuals with high-deductible plans may save money by paying the self-pay rate upfront, provided they can secure a prompt-pay discount before the claim is submitted to their insurer.
To ensure you are not overcharged, it is critical to request an itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should verify your specific plan details and deductible status before scheduling. Comparing this facility's pricing to the broader market, the cash rate of $1,770 is notably higher than the Medicare benchmark of $243.77, reflecting the standard administrative markup inherent in commercial billing, but it remains a competitive option when weighed against the significantly higher negotiated rates required by insurance carriers.