CT scan, abdomen and pelvis (no contrast)
Facility: Hamilton County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,048
- Cash Discount Price: $2,275
- vs. Medicare Baseline: 8.40x 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 840% of the Medicare baseline (a markup of 740%). 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 | $215 - $480 | 88% |
| First Health Coventry - All Plans | $1,934 | 793% |
| UnitedHealthcare | $2,161 | 886% |
| Cigna | $2,161 | 886% |
| Va Ccn - All Plans | $2,275 | 933% |
| Aetna | $3,868 | 1587% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Hamilton County Hospital in Syracuse, KS, the cash price is $2,275, which matches the facility's median negotiated rate. This cash price is significantly lower than the commercial negotiated rates charged by major payers such as Aetna ($3,868) and UnitedHealthcare ($2,161), though it remains higher than the lowest negotiated rate of $1,934 offered by First Health Coventry. When compared to the Medicare benchmark of $243.77, the cash price represents an 8.4% markup above the federal baseline, indicating a moderate price relative to the national standard for this procedure.
Patients with high-deductible plans may find it financially advantageous to pay the cash price of $2,275 directly, as this amount is lower than the median allowed amount of $2,161 for most commercial payers, meaning the out-of-pocket cost could be reduced if the patient's insurance allows for a lower allowed amount or if a prompt-pay discount is applied. To secure the best possible rate, it is recommended to contact the hospital's billing department before scheduling to request a self-pay classification and inquire about prompt-pay discounts, which can reduce the total bill by 20% to 50% if paid in full upfront. Additionally, patients should avoid accepting summary bills and instead request a detailed itemized statement to ensure all charges are accurate and to identify any potential errors before finalizing payment.