CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Greenwood County Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,300
  • Cash Discount Price: $1,230
  • vs. Medicare Baseline: 3.65x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Greenwood County Hospital is $1,300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,230. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.65x the Medicare baseline. Located in 100 W 16Th Street, Eureka, KS.
Cash / Self-Pay
$1,230

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,300

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,230 (345%)
Insurance Median: $1,300 (365%)
Cash: $1,230 (345% of Medicare)
Ins. Median: $1,300 (365% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 365% of the Medicare baseline (a markup of 265%). 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
Blue Cross Blue Shield $430 - $453 121%
Triwest - All Plans $549 154%
Choicecare Mcr Adv - All Plans $646 181%
Tricare $646 181%
UnitedHealthcare $646 - $1,292 181%
Integrated Health Plan - All Plans $1,154 324%
First Health Ccn Network $1,307 367%
Beech Street - All Plans $1,307 367%
First Health - All Other Plans $1,307 367%
Preferred Hs (Coventry) - All Plans $1,384 388%
Principal Health Care Inc - All Plans $1,461 410%
Medicaid / KanCare $1,538 432%
Amerigroup Mcaid-All Plans $1,538 432%
Providrs Care/Wppa - All Plans $2,307 647%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis with contrast at Greenwood County Hospital in Eureka, Kansas, the facility's cash median rate is $1,230, while the negotiated rates paid by insurance plans range from $430 to $2,307. This significant variation highlights that cash-paying can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. Although the facility is a government-owned Critical Access Hospital, the negotiated rates for some payers, such as UnitedHealthcare and Providrs Care/Wppa, are substantially higher than the cash rate, illustrating how administrative costs and contract dynamics can inflate the final bill for insured patients.

To ensure you are receiving the most accurate and fair pricing, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that should be consolidated. Additionally, you should verify your deductible status before scheduling, as paying a high negotiated rate without meeting your deductible can result in unexpected out-of-pocket costs. If you choose to pay directly, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront, effectively bypassing the administrative overhead associated with insurance claims processing.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 W 16Th Street, Eureka, KS 67045
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals