CT scan, abdomen and pelvis (no contrast)
Facility: Lincoln County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $480
- Cash Discount Price: $1,193
- vs. Medicare Baseline: 1.97x 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.
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 | $480 | 197% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Lincoln County Hospital in Lincoln, KS, the facility's cash median price is $1,193, which is lower than the negotiated rate of $480 paid by Blue Cross Blue Shield. This specific procedure is billed at a 200% markup relative to the Medicare amount of $243.77, reflecting the standard administrative and cost-based pricing structure for this service. While the facility is a Critical Access Hospital owned by the local government, patients should verify their specific plan details, as cash payments can sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price.
To ensure you are not overcharged, it is important to understand that hospitals often issue summary bills that obscure individual line items, making it difficult to spot errors or unbundled charges. Before finalizing payment, request a full itemized CPT-coded statement to review every service rendered and dispute any charges for items not delivered or incorrectly coded. Additionally, since the facility offers prompt-pay discounts for upfront payment, you should ask the billing department about self-pay rates and potential discounts before scheduling your visit to avoid unexpected balance billing or administrative fees associated with insurance claims.