CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Great Plains Of Sabetha

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $634
  • Cash Discount Price: $666
  • vs. Medicare Baseline: 2.60x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Great Plains Of Sabetha is $634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $666. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.60x the Medicare baseline. Located in 603 S 14Th Street, Sabetha, KS.
Cash / Self-Pay
$666

Average discount available for prompt cash payment at this facility.

Insurance Median
$634

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: $666 (273%)
Insurance Median: $634 (260%)
Cash: $666 (273% of Medicare)
Ins. Median: $634 (260% 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 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.

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
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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 603 S 14Th Street, Sabetha, KS 66534
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals