CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ellsworth County Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,593
  • Cash Discount Price: $1,770
  • vs. Medicare Baseline: 6.53x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ellsworth County Medical Center is $1,593. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,770. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.53x the Medicare baseline. Located in 1604 Aylward Avenue, Ellsworth, KS.
Cash / Self-Pay
$1,770

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,593

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,770 (726%)
Insurance Median: $1,593 (653%)
Cash: $1,770 (726% of Medicare)
Ins. Median: $1,593 (653% of 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 653% of the Medicare baseline (a markup of 553%). 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 $430 - $453 176%
Healthy Blue Mcr Adv $832 341%
Triwest -All Plans $832 341%
Humana $832 - $1,682 341%
Va Ccn-All Plans $832 341%
UnitedHealthcare $1,150 - $1,770 472%
Aetna $1,593 653%
First Health - All Plans $1,593 653%
Cigna $1,682 690%
Medicaid / KanCare $1,770 726%
Healthy Blue Mcaid- All Other Plans $1,770 726%
Coventry Mcaid-All Plans $1,770 726%
Providers Care-Wppa-All Plans $2,655 1089%

Consumer Guidance & Cost Commentary

For this CT scan of the abdomen and pelvis at Ellsworth County Medical Center, the cash price is $1,770, which matches the facility's gross charge and the Medicaid rate. While the median negotiated rate across 13 payers is $1,593, patients with high-deductible plans may find paying cash upfront more cost-effective if their insurance allows the full negotiated amount or if the patient's out-of-pocket maximum is not yet reached. It is important to note that the cash price here is identical to the gross charge, meaning no self-pay or prompt-pay discounts are listed in this specific price transparency report; however, patients should always ask the billing department directly about potential "self-pay" or "prompt-pay" discounts before scheduling, as these reductions can range from 20% to 50% for upfront payments.

When comparing this facility's pricing to broader benchmarks, the Medicare amount for this service is $243.77, which serves as the objective baseline for evaluating commercial rates. The facility's cash price of $1,770 represents a significant markup relative to the Medicare rate, consistent with how commercial negotiated rates often exceed fair pricing benchmarks. Additionally, the median paid amount across payers is $1,372, which is lower than the cash price, illustrating that for those with active insurance coverage, the actual cost to the patient is likely reduced by the insurance company's payment. Given that this is a Critical Access Hospital in Ellsworth, KS, patients should verify their specific plan details and request an itemized bill to ensure no errors or unbundled charges are included before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals