CT scan, abdomen and pelvis (no contrast)
Facility: Logan County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,374
- Cash Discount Price: $500
- vs. Medicare Baseline: 5.64x 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 564% of the Medicare baseline (a markup of 464%). 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 | $848 | 348% |
| Health Partners - All Plans | $1,900 | 779% |
| Medicaid / KanCare | $2,000 | 820% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Logan County Hospital in Oakley, Kansas, the facility's cash price is $500, which is significantly lower than the negotiated rates paid by major payers like Blue Cross Blue Shield ($480), Humana ($848), and Health Partners ($1,900). While Medicaid/KanCare covers the full gross charge of $2,000, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $500, as paying out-of-pocket avoids deductibles and copays. It is important to note that this facility is a Critical Access Hospital with government-local ownership, and while the data does not list a specific facility rating, the cash rate represents the most transparent baseline for self-pay patients.
The Medicare benchmark for this service is $243.77, serving as a scientifically validated baseline for "true cost" rather than the hospital's inflated gross charge. Although the data does not provide explicit state or county average comparisons, the facility's cash rate of $500 is roughly double the Medicare amount, which is consistent with typical commercial pricing structures where negotiated rates often range from 200% to 300% of Medicare. To minimize costs, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer 20% to 50% reductions for upfront payment that bypasses administrative claim processing fees. Additionally, if you have insurance, ensure you have an itemized bill to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors