CT scan, abdomen and pelvis (no contrast)
Facility: Nemaha Valley Community Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,202
- Cash Discount Price: $2,100
- vs. Medicare Baseline: 4.93x 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 493% of the Medicare baseline (a markup of 393%). 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% |
| Humana | $1,017 - $1,037 | 417% |
| Va Ccn - All Plans | $1,017 - $1,037 | 417% |
| Aetna | $1,027 - $2,003 | 421% |
| Celtic Comm Exch - All Plans | $1,119 - $1,140 | 459% |
| Partners Direct Health - All Plans | $1,202 - $1,225 | 493% |
| Multiplan - All Plans | $2,080 - $2,120 | 853% |
| Health Partners - All Plans | $2,195 - $2,238 | 900% |
| Midlands Choice - All Plans | $2,195 - $2,238 | 900% |
Consumer Guidance & Cost Commentary
For patients at Nemaha Valley Community Hospital in Seneca, KS, the cost of a CT scan of the abdomen and pelvis varies significantly depending on payment method. While the facility's cash median price is $2,100, commercial insurance plans typically pay negotiated rates ranging from $480 to $2,238, with Humana and VA plans averaging around $1,017 to $1,037. It is important to note that cash payments can sometimes be more economical for individuals with high-deductible plans if their insurance negotiated rate exceeds the cash price. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce the final bill by paying upfront and bypassing administrative processing costs.
When evaluating the value of this service, it is crucial to compare rates against objective benchmarks rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $243.77, and the facility's cash rate is approximately 4.9 times higher than the Medicare benchmark, which is a common markup structure in the healthcare industry. Since over 80% of hospital bills contain errors, patients should request a detailed, itemized bill to ensure no services were double-billed or unbundled. If a balance bill arises from an out-of-network provider, patients should not pay immediately but instead dispute the charge with their insurer to protect against unexpected costs.