CT scan, abdomen and pelvis (no contrast)
Facility: Greenwood County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,273
- Cash Discount Price: $1,206
- vs. Medicare Baseline: 5.22x 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 522% of the Medicare baseline (a markup of 422%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $430 - $453 | 176% |
| Triwest - All Plans | $538 | 221% |
| Tricare | $633 | 260% |
| UnitedHealthcare | $633 - $1,266 | 260% |
| Choicecare Mcr Adv - All Plans | $633 | 260% |
| Integrated Health Plan - All Plans | $1,130 | 464% |
| Beech Street - All Plans | $1,281 | 525% |
| First Health - All Other Plans | $1,281 | 525% |
| First Health Ccn Network | $1,281 | 525% |
| Preferred Hs (Coventry) - All Plans | $1,356 | 556% |
| Principal Health Care Inc - All Plans | $1,432 | 587% |
| Amerigroup Mcaid-All Plans | $1,507 | 618% |
| Medicaid / KanCare | $1,507 | 618% |
| Providrs Care/Wppa - All Plans | $2,260 | 927% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Greenwood County Hospital in Eureka, Kansas, the cash price is $1,206, which is lower than the facility's gross charge of $1,507. While the hospital is a government-owned Critical Access Hospital, patients with high-deductible plans may find the cash rate more affordable than their insurance negotiated rates, which range from $430 to $2,260 depending on the payer. Although the cash price is below the facility's gross, it is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; however, some payers like Blue Cross Blue Shield have negotiated rates as low as $430, which could be cheaper than the cash option depending on your specific plan's deductible and coinsurance.
To ensure you are not overcharged, we recommend requesting an itemized billing audit to verify that all charges correspond to services actually rendered, as over 80% of hospital bills contain errors such as unbundled codes or services not delivered. Additionally, if you are receiving care from an out-of-network provider, the No Surprises Act protects you from balance billing for emergency and non-emergency services at in-network facilities, so you should dispute any surprise bills immediately rather than paying them out of fear of credit damage. Finally, before scheduling, ask the hospital about prompt-pay discounts, which can reduce the cash price by 20% to 50% if paid upfront, and always confirm your deductible status to avoid paying the full negotiated amount before your plan covers it.