CT scan, abdomen and pelvis (no contrast)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $657
- Cash Discount Price: $659
- vs. Medicare Baseline: 2.70x 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 270% of the Medicare baseline (a markup of 170%). 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 |
|---|---|---|
| Humana | $380 | 156% |
| Tricare | $410 | 168% |
| Va Ccn - All Plans | $480 | 197% |
| UnitedHealthcare | $480 - $775 | 197% |
| Aetna | $480 - $698 | 197% |
| Medicaid / KanCare | $480 - $775 | 197% |
| Ambetter / Centene | $529 | 217% |
| Blue Cross Blue Shield | $657 | 270% |
| Health Partners - All Plans | $736 | 302% |
| Healthy Blue Mcaid - All Plans | $775 | 318% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Trego County Lemke Memorial Hospital, the cash price is $659, which is lower than the facility's negotiated rates for most major payers. While the facility is a Critical Access Hospital in Wakeeney, KS, patients should note that commercial insurance plans often pay significantly more than the cash price due to administrative costs and contract structures; for instance, UnitedHealthcare's negotiated range spans from $480 to $775, and Medicaid / KanCare ranges from $480 to $775. Because the cash rate of $659 is lower than the median negotiated amount of $657 (which appears to be an outlier or specific plan average) and the gross charge of $775, patients with high-deductible plans or those without insurance may save money by paying the cash price directly. It is crucial to ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the costly insurance claims cycle and result in immediate savings.
The facility's cash price of $659 is also notably higher than the state and county average for this procedure, which is $481. This discrepancy highlights the importance of understanding that Medicare rates, set at $243.77, serve as a more accurate benchmark for "true cost" than the hospital's gross charges. Since commercial rates often average 200% to 300% of Medicare, the $775 gross charge represents a significant markup, whereas the cash price offers a more transparent alternative. If you receive a bill from an out-of-network provider or encounter