CT scan, abdomen and pelvis (no contrast)
Facility: Wilson Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $701
- Cash Discount Price: $657
- vs. Medicare Baseline: 2.88x 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 288% of the Medicare baseline (a markup of 188%). 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 | $453 - $876 | 186% |
| Tricare | $464 | 190% |
| UnitedHealthcare | $464 - $815 | 190% |
| Humana | $464 | 190% |
| Aetna | $464 - $876 | 190% |
| Ambetter / Centene | $464 - $876 | 190% |
| Cigna | $701 | 288% |
| Mulitplan-All Plans | $806 | 331% |
| Health Partners-All Plans | $806 | 331% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis at Wilson Medical Center in Neodesha, KS, the cash price is $657.00, which is lower than the facility's gross charge of $876.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that insurance negotiated rates can sometimes exceed cash prices. For instance, UnitedHealthcare and Aetna have negotiated ranges that reach up to $876.00, meaning a patient with a high-deductible plan might save money by paying the cash price directly. It is advisable to contact the hospital before scheduling to confirm "self-pay" or "prompt-pay" discounts, which can further reduce the final cost by bypassing administrative fees associated with insurance claims.
The data indicates that the cash median of $657.00 is significantly lower than the median negotiated rate of $701.00 and the gross charge. When comparing to the Medicare benchmark of $243.77, the cash price represents a markup of approximately 2.9 times the federal rate, which aligns with typical commercial pricing structures where rates often range between 200% and 300% of Medicare. If you have insurance, your specific plan's negotiated rate will determine your out-of-pocket responsibility, but if you are self-pay, the $657.00 cash rate is the most transparent baseline. Always request an itemized bill to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.