CT scan, abdomen and pelvis (no contrast)
Facility: Stafford County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $766
- Cash Discount Price: $766
- vs. Medicare Baseline: 3.14x 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 314% of the Medicare baseline (a markup of 214%). 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 |
|---|---|---|
| Health Partners-All Plans | $728 | 299% |
| UnitedHealthcare | $766 | 314% |
| Humana | $766 | 314% |
| Va Ccn-All Plans | $766 | 314% |
| Medica Mcr- All Plans | $766 | 314% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Stafford County Hospital, the cash price is $766.00, which matches the median negotiated rate across all five major payers listed, including Health Partners, UnitedHealthcare, and Humana. This facility, a Critical Access Hospital in Stafford, KS, charges the same amount regardless of insurance, meaning patients with high-deductible plans might save money by paying cash directly rather than relying on insurance, which could result in higher out-of-pocket costs if the negotiated rate exceeds the cash price. Since the cash rate is identical to the negotiated rate, there is no immediate financial advantage to waiting for insurance processing, but patients should still verify if "self-pay" or "prompt-pay" discounts are available by contacting the hospital directly before scheduling.
The Medicare benchmark for this service is $243.77, indicating that the facility's rate is 3.1 times higher than the federal baseline, which is consistent with commercial pricing structures that include administrative overhead and profit margins. While the data does not provide specific state or county average comparisons for this exact procedure, the fixed pricing across all payers suggests a transparent billing environment where balance billing is unlikely for in-network members. To ensure accuracy, patients should request an itemized bill to confirm that no unbundled codes or services not rendered are included, as over 80% of hospital bills often contain errors that can be corrected through a formal written audit dispute.