CT scan, abdomen and pelvis (no contrast)
Facility: Clara Barton Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,198
- Cash Discount Price: $1,709
- vs. Medicare Baseline: 9.02x 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 902% of the Medicare baseline (a markup of 802%). 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 | $453 | 186% |
| 6 Degrees Health - All Plans | $1,709 | 701% |
| Wppa-All Plans | $1,954 | 802% |
| Phcs - All Plans | $2,198 | 902% |
| UnitedHealthcare | $2,198 | 902% |
| Aetna | $2,198 | 902% |
| Hlth Partners Of Ks-All Plans | $2,247 | 922% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Clara Barton Hospital in Hoisington, KS, the cash price is $1,709, which is lower than the facility's negotiated rate of $2,198 and the state average of $2,442. While this facility is a Critical Access Hospital with a voluntary non-profit ownership, patients should be aware that insurance plans like Blue Cross Blue Shield and 6 Degrees Health have negotiated rates of $453 and $1,709 respectively, which are significantly lower than the cash price. However, if you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $1,709 upfront may be more cost-effective than relying on insurance, which could result in a higher out-of-pocket expense once your deductible is exhausted.
To minimize costs, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling your appointment, as these upfront payment incentives can reduce the total bill by 20% to 50%. Additionally, since the Medicare benchmark for this procedure is $243.77, the commercial negotiated rates reflect a substantial markup typical of the healthcare system; comparing your specific plan's allowed amount to the Medicare rate provides a clearer picture of the true cost rather than the inflated chargemaster list price. Always request a detailed, itemized bill before paying to ensure no errors or unbundled charges are included, and remember that the No Surprises Act protects you from balance billing for emergency services at in-network facilities.