CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Kiowa District Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $821
  • Cash Discount Price: $705
  • vs. Medicare Baseline: 3.37x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Kiowa District Hospital is $821. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $705. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.37x the Medicare baseline. Located in 1002 South 4Th Street, Kiowa, KS.
Cash / Self-Pay
$705

Average discount available for prompt cash payment at this facility.

Insurance Median
$821

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: $705 (289%)
Insurance Median: $821 (337%)
Cash: $705 (289% of Medicare)
Ins. Median: $821 (337% 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 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.

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
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

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1002 South 4Th Street, Kiowa, KS 67070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals