CT scan, abdomen and pelvis (no contrast)
Facility: Kiowa District Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $821
- Cash Discount Price: $705
- vs. Medicare Baseline: 3.37x 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 337% of the Medicare baseline (a markup of 237%). 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 |
|---|---|---|
| Tricare | $337 - $350 | 138% |
| Blue Cross Blue Shield | $453 | 186% |
| Healthchoice-All Plans | $466 | 191% |
| UnitedHealthcare | $691 - $898 | 283% |
| Health Partners Of Ks-All Plans | $760 - $790 | 312% |
| Humana | $780 - $810 | 320% |
| Gbs Insurance - All Plans | $812 - $844 | 333% |
| Multiplan-All Plans | $812 - $844 | 333% |
| Medicare (plans) | $821 - $853 | 337% |
| Triwest-All Plans | $821 - $853 | 337% |
| Aetna | $821 - $853 | 337% |
| Medicaid / KanCare | $864 - $898 | 354% |
| Providers Care (Wppa)-All Plans | $1,296 - $1,347 | 532% |
| Liberty Healthshare-All Plans | $1,395 - $1,450 | 572% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Kiowa District Hospital in Kiowa, KS, the facility's cash median price is $705.00, which is lower than the state average of $821.00. While many commercial payers negotiate rates that exceed this cash price—ranging from $453 for Blue Cross Blue Shield up to $1,450 for Liberty Healthshare—patients with high-deductible plans may find paying the cash rate directly more cost-effective if their insurance allowed amount is higher than $705.00. Because the facility is a Critical Access Hospital owned by a Government Hospital District, it is important to verify whether your specific plan is in-network, as out-of-network care could theoretically trigger balance billing for the difference between the negotiated rate and your plan's allowed amount, though the No Surprises Act protects patients from such surprise bills for emergency and non-emergency services at in-network facilities.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary bills often hide unbundled codes or services not rendered. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the total by 20% to 50% if settled within 30 days, bypassing the administrative costs associated with insurance claims. Given that the facility's gross charge is $881.00 and the Medicare benchmark is $243.77, commercial rates are significantly higher than the federal baseline; however, the cash price remains the most transparent figure for self-pay patients. Always confirm your deductible status and request a self-pay classification at