CT scan, abdomen and pelvis (no contrast)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,076
- Cash Discount Price: $1,346
- vs. Medicare Baseline: 4.41x 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 441% of the Medicare baseline (a markup of 341%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $359 | 147% |
| UnitedHealthcare | $434 - $1,495 | 178% |
| Berkley Net-All Plans | $598 | 245% |
| Trustmark Health Benefits-All Plans | $658 | 270% |
| Aetna | $658 - $1,017 | 270% |
| Meritain Health-All Plans | $673 | 276% |
| Ambetter / Centene | $718 | 295% |
| Axa Equitable - All Plans | $822 | 337% |
| Pinnacol-All Plans | $837 | 343% |
| Medi-Share-All Plans | $852 | 350% |
| Presbyterian-All Plans | $912 | 374% |
| Kasb Work Comp - All Plans | $957 | 393% |
| The Kempton Group Admin-All Plans | $1,032 | 423% |
| Gpha(Wppa)-All Other Plans | $1,046 | 429% |
| Auxiant - All Plans | $1,046 | 429% |
| Wppa- All Plans | $1,061 | 435% |
| Sisco-All Plans | $1,076 | 441% |
| Emc-All Plans | $1,076 | 441% |
| Providers Care Network- All Plans | $1,076 | 441% |
| Gpha Employee Benefit Plan | $1,091 | 448% |
| Employee Benefit-All Plans | $1,121 | 460% |
| Regional Care(Wppa)-All Plans | $1,121 | 460% |
| First Health -All Plans | $1,136 | 466% |
| Triangle-All Plans | $1,136 | 466% |
| One Call Physician-All Plans | $1,151 | 472% |
| Blue Cross Blue Shield | $1,181 | 484% |
| Christian Hospital Aid - All Plans | $1,196 | 491% |
| Tricare | $1,196 | 491% |
| Humana | $1,286 | 528% |
| Luminare Health- All Plans | $1,316 | 540% |
| Cigna | $1,316 | 540% |
| Coresource-All Plans | $1,346 | 552% |
| Deseret Mutual(Uhis)-All Plans | $1,346 | 552% |
| Vaccn-All Plans | $1,375 | 564% |
| Hma Llc-All Plans | $1,420 | 583% |
| Reserve National-All Plans | $1,420 | 583% |
| Wps Vapc-All Plans | $1,420 | 583% |
| Medicaid / KanCare | $1,495 | 613% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Satanta District Hospital, the cash price is $1,346, which is lower than the facility's gross charge of $1,495. While the hospital is a Critical Access Hospital in Kansas, the negotiated rates for various insurance plans range from $359 to $1,495, with a median negotiated amount of $1,076. This median negotiated rate is significantly lower than the cash price, meaning patients with high-deductible plans or those who have not yet met their deductible might pay more out-of-pocket if they choose to pay cash directly. However, because the cash price is still below the gross charge, patients should verify their specific plan's allowed amount before scheduling, as some commercial payers may negotiate rates that exceed the cash-pay option.
It is important to understand that commercial insurance rates often differ from Medicare benchmarks; in this case, the Medicare amount is $243.77, which serves as a baseline for fair pricing rather than a direct comparison to the hospital's list price. The facility's ownership is a Government Hospital District, and while no specific county or state average data was provided in this report, the wide variation in negotiated rates across 38 different payers highlights the importance of checking your specific plan details. To ensure you receive the most favorable rate, we recommend asking the hospital's billing department about "self-pay" or "prompt-pay" discounts before your visit, as these upfront payment incentives can reduce the final bill by 20% to 50% and bypass the administrative costs associated with insurance claims processing.