CT scan, abdomen and pelvis (no contrast)
Facility: Wamego Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $111
- Cash Discount Price: $1,988
- vs. Medicare Baseline: 0.46x 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.
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 |
|---|---|---|
| UnitedHealthcare | $61 - $198 | 25% |
| Medicaid / KanCare | $61 - $206 | 25% |
| Aetna | $63 - $206 | 26% |
| Providrs Care | $111 - $251 | 46% |
| Tricare | $306 | 126% |
| Blue Cross Blue Shield | $631 - $664 | 259% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at Wamego Health Center in Wamego, KS, the cash median price is $1,988.00, which is significantly lower than the facility's gross charge of $4,969.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. For instance, Medicaid/KanCare plans have a negotiated range of $61 to $206, while Blue Cross Blue Shield ranges from $306 to $664. If you have a high-deductible plan, paying the cash price upfront might be more cost-effective than relying on insurance, especially since the cash rate is well below the highest negotiated ranges found among commercial payers.
The Medicare benchmark for this procedure is $243.77, serving as a baseline for fair pricing; commercial rates are frequently marked up significantly above this figure. Although the data does not provide specific county or state average comparisons for this exact code, the facility's cash rate of $1,988.00 is notably higher than the Medicare amount, reflecting the complexity of commercial billing. To minimize costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final bill by 20% to 50%. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services,