CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medicine Lodge Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$694
about 1.9× the $356 Medicare rate · typically $309–$1,574
modeled estimate · not a bill or quote
What this hospital charges insurers
$779
About the fair price
about $85 over the fair price · 2.2× Medicare
Medicare pays $356 Fair price $694 This hospital $779 Cash price $779 Hospital's list price $779

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $151 Priciest $779

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $694 (about 1.9× the $356 Medicare rate). Medicine Lodge Memorial Hospital charges insurers about $779, or about $779 in cash — about the fair price. Located in Medicine Lodge, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $740 208%
Aetnamajor $721 - $779 202%
Humanamajor $709 199%
+ 1 smaller / regional plan $740
Government programs also on file: Medicaid, Military & VA.

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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