CT scan, abdomen and pelvis (no contrast)
Facility: Stanton County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,787
- Cash Discount Price: $1,880
- vs. Medicare Baseline: 7.33x 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 733% of the Medicare baseline (a markup of 633%). 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 | $456 - $1,787 | 187% |
| Healthy Blue Mcr Adv - All Other Plans | $1,842 | 756% |
| Healthy Blue Mcaid | $1,880 | 771% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Stanton County Hospital in Johnson, KS, the cash price is $1,880, which matches the facility's gross charge and the median amount paid by insurers. This rate is significantly higher than the state average for this procedure, as indicated by a 7.3% variance compared to Medicare's benchmark of $243.77. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance plans often negotiate rates higher than cash prices due to administrative costs and claim processing fees. If you have a high-deductible plan, paying the full cash price of $1,880 upfront might result in lower out-of-pocket costs than your insurance paying its negotiated rate of up to $1,880, especially if your deductible has not yet been met.
To ensure you receive the most accurate pricing, it is essential to request a prompt-pay discount or self-pay rate directly from the hospital before scheduling your visit, as these discounts can reduce the final bill by 20% to 50%. If you are using insurance, be cautious of balance billing scenarios where out-of-network services might trigger unexpected charges, though the No Surprises Act generally protects emergency care and non-emergency services at in-network facilities. Furthermore, if you receive a summary bill, do not accept it as the final invoice; instead, demand a detailed, itemized statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies that can be corrected through a formal written audit dispute.