CT scan, abdomen and pelvis (no contrast)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $855
- Cash Discount Price: $760
- vs. Medicare Baseline: 3.51x 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 351% of the Medicare baseline (a markup of 251%). 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% |
| UnitedHealthcare | $855 - $950 | 351% |
| Providers Care (Wppa)-All Plans | $1,662 | 682% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at the Hospital District #6 Patterson Health Center in Anthony, KS, the facility's negotiated rate is $855.00, which matches the median paid amount. This rate is significantly higher than the cash price of $760.00, meaning patients with high-deductible plans or those without insurance could save money by paying cash upfront. While the facility is a Critical Access Hospital in the state of Kansas, the data does not provide specific county or state average comparisons for this procedure, so the cash price remains the most reliable benchmark for self-pay patients.
The Medicare benchmark for this service is $243.77, which serves as the objective baseline for evaluating pricing. The negotiated rate of $855.00 is 3.5 times the Medicare amount, reflecting the standard administrative markup and contract dynamics inherent in commercial insurance billing. To minimize costs, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as paying the full bill upfront can often bypass the higher insurance negotiated rate. Additionally, patients should avoid accepting summary bills and instead demand a detailed itemized statement to ensure no errors or unbundled charges are included in the final invoice.