CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medicine Lodge Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $652
  • Cash Discount Price: $686
  • vs. Medicare Baseline: 2.67x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medicine Lodge Memorial Hospital is $652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $686. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.67x the Medicare baseline. Located in 710 N Walnut Street, Medicine Lodge, KS.
Cash / Self-Pay
$686

Average discount available for prompt cash payment at this facility.

Insurance Median
$652

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: $686 (281%)
Insurance Median: $652 (267%)
Cash: $686 (281% of Medicare)
Ins. Median: $652 (267% 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 267% of the Medicare baseline (a markup of 167%). 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 $549 225%
Humana $624 256%
Aetna $635 - $686 260%
Hpk-All Plans $652 267%
UnitedHealthcare $652 267%
Medicaid / KanCare $686 281%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis without contrast at Medicine Lodge Memorial Hospital in Medicine Lodge, KS, the cash price is $686.00, which matches the facility's gross charge and the median amount paid by Medicaid/KanCare. While commercial insurance plans like Aetna, Humana, and UnitedHealthcare negotiate rates ranging from $624 to $686, these amounts are generally higher than the cash price due to administrative costs and contract structures. It is important to note that for patients with high-deductible plans, paying the cash price of $686.00 upfront may result in lower out-of-pocket costs compared to having insurance pay a negotiated rate that exceeds the cash price, provided the patient's deductible has not yet been met.

The facility's pricing is benchmarked against the Medicare rate of $243.77, which serves as a scientifically validated baseline for healthcare costs. The cash price of $686.00 represents a significant markup over this federal standard, reflecting the administrative load and contract dynamics typical of commercial billing. Patients should be aware that hospitals often offer prompt-pay discounts for self-pay customers who settle bills in full within 30 days, which can reduce the final amount owed. Additionally, because over 80% of hospital bills contain errors, consumers are encouraged to request a detailed, itemized statement to verify that all charges are accurate and that no services were unbundled or double-billed before making any payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals