CT scan, abdomen and pelvis (no contrast)
Facility: Stevens County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $670
- Cash Discount Price: $770
- vs. Medicare Baseline: 2.75x 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 275% of the Medicare baseline (a markup of 175%). 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 |
|---|---|---|
| Humana | $285 | 117% |
| Aetna | $293 - $770 | 120% |
| Blue Cross Blue Shield | $456 - $480 | 187% |
| First Health - All Plans | $693 | 284% |
| Wppa - All Plans | $732 | 300% |
| Medicaid / KanCare | $770 | 316% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis at Stevens County Hospital in Hugoton, Kansas, the cash price is $770.00, which matches the facility's gross chargemaster rate. While the hospital's negotiated rates with major payers like Aetna and Blue Cross Blue Shield range from $285 to $770, the cash price remains the highest figure listed for this service. It is important to note that for patients with high-deductible plans, paying the cash price of $770.00 upfront can sometimes be more cost-effective than relying on insurance, as the insurer's negotiated payment to the hospital is only $221.00, leaving the patient responsible for the remaining balance. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost.
This service is provided by a Critical Access Hospital, a facility type often subject to specific federal pricing regulations that may influence their billing structure. The facility is owned by the local government and is located in Hugoton, with a ZIP code of 67951. While the provided data does not include specific state or county average comparisons for this exact procedure, patients should be aware that Medicare sets a benchmark rate of $243.77 for this code, which serves as a baseline for evaluating commercial pricing markups. If you receive a bill that exceeds the cash price or the allowed amount, you should request a detailed, itemized statement to verify that no services were unbundled or double-billed, and you may have protections under the No Surprises Act if you were charged for out-of-network services