CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Holton Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,249
  • Cash Discount Price: $1,129
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Holton Community Hospital is $1,249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,129. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.50x the Medicare baseline. Located in 1110 Columbine Drive, Holton, KS.
Cash / Self-Pay
$1,129

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,249

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,129 (317%)
Insurance Median: $1,249 (350%)
Cash: $1,129 (317% of Medicare)
Ins. Median: $1,249 (350% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 350% of the Medicare baseline (a markup of 250%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $453 127%
UnitedHealthcare $798 - $1,505 224%
Aetna $798 - $1,505 224%
Humana $806 226%
Kansas Superior Select - All Plans $814 228%
Preferred Health Freedom $1,249 350%
Preferred Health Professionals $1,249 350%
Preferred Health Fn Select - All Other Plans $1,249 350%
Wppa Providers - All Plans $1,430 401%
Medicaid / KanCare $1,505 422%

Consumer Guidance & Cost Commentary

For this CT scan of the abdomen and pelvis at Holton Community Hospital, the negotiated rates for in-network payers like UnitedHealthcare and Aetna range from $798 to $1,505, which is significantly higher than the cash price of $1,129. While commercial insurance contracts often include administrative overhead that inflates these rates, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds the cash rate. It is important to note that Medicaid/KanCare rates are fixed at $1,249, and while this facility is a Critical Access Hospital in Kansas, the data provided does not include specific county or state average comparisons to contextualize these figures against regional pricing norms.

To ensure you are not overcharged, always request an itemized bill before paying, as summary invoices can hide unbundled codes or services not rendered, which are common sources of billing errors. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act generally protects you from paying the difference between the provider's full charge and your insurance allowed amount for emergency care and non-emergency services at in-network facilities. Additionally, since this facility offers a prompt-pay discount for upfront cash payments, you should contact the hospital directly to confirm their self-pay rates and ask for a waiver of insurance submission to avoid automatic claims processing that could void any cash savings.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Columbine Drive, Holton, KS 66436
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals