CT scan, abdomen and pelvis (no contrast)
Facility: Great Plains Of Sabetha
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $634
- Cash Discount Price: $666
- vs. Medicare Baseline: 2.60x 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 260% of the Medicare baseline (a markup of 160%). 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 |
|---|---|---|
| Celtic Mcr Adv | $346 - $347 | 142% |
| Aetna | $349 - $674 | 143% |
| Celtic Comm Exchange-All Other Plans | $432 - $434 | 177% |
| Great West Healthcare-All Plans | $565 - $567 | 232% |
| UnitedHealthcare | $618 - $667 | 254% |
| Cigna | $632 - $634 | 259% |
| Multiplan-Phcs-All Plans | $632 - $634 | 259% |
| Century/Wppa/Providers-All Plans | $632 - $634 | 259% |
| Humana | $632 - $634 | 259% |
| Federated Mutual Ins-All Plans | $638 - $640 | 262% |
| Blue Cross Blue Shield | $665 - $667 | 273% |
| Medicaid / KanCare | $665 - $667 | 273% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at Great Plains Of Sabetha, the cash price is $666.00, which matches the facility's median paid amount. While this cash rate is significantly higher than the Medicare benchmark of $243.77, it is notably lower than the negotiated rates charged to most commercial payers, which range from $346 to $667. Patients with high-deductible plans may find paying the full cash price of $666.00 more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash amount. To potentially lower this cost, patients should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.
This procedure is billed under CPT code 74176 at a Critical Access Hospital in Sabetha, Kansas, with a gross charge of $666.00. Although the data does not provide specific county or state average comparisons for this exact code, the facility's cash rate remains a key benchmark for consumers evaluating out-of-network costs. It is important to note that while the No Surprises Act protects patients from balance billing for emergency services at in-network facilities, unexpected charges can still occur for out-of-network ancillary services like lab work. Consumers are advised to request a full itemized bill before paying to ensure no unbundled codes or services not rendered are included, and to dispute any balance bills immediately rather than accepting summary invoices or signing away surprise billing protections.