CT scan, abdomen and pelvis (no contrast)
Facility: Cloud County Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,473
- Cash Discount Price: $1,244
- vs. Medicare Baseline: 10.14x 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 1014% of the Medicare baseline (a markup of 914%). 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 |
|---|---|---|
| Aetna | $766 - $2,513 | 314% |
| Mpi-All Plans | $808 - $2,567 | 331% |
| Health Partners - All Plans | $2,567 | 1053% |
| Pponext-All Plans | $2,567 | 1053% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Cloud County Health Center in Concordia, KS, the facility's cash price of $1,244 is lower than the median negotiated rate of $2,473 paid by insurance plans. This service is billed under CPT code 74176, and while the facility is a Critical Access Hospital owned by a voluntary non-profit, patients should verify their specific plan details before scheduling. It is important to note that cash-pay options can sometimes be more cost-effective for individuals with high-deductible plans if their insurance negotiated rate exceeds the cash price, though this depends entirely on your specific coverage. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts directly with the hospital before check-in, as these upfront fee reductions can significantly lower the final amount owed.
The pricing for this procedure reflects the facility's location in the state of Kansas, where the Medicare benchmark amount for this code is $243.77. While the data provided does not include specific county or state average comparisons for this exact procedure, the facility's gross charge of $1,777 serves as the baseline before any discounts or insurance negotiations. Under federal protections like the No Surprises Act, patients receiving care at this in-network facility are shielded from balance billing by out-of-network providers for emergency or non-emergency services. If you receive a bill that seems unexpectedly high, you should request a detailed, itemized statement to review every charge and dispute any errors or unbundled codes before making a payment.