CT scan, abdomen and pelvis (no contrast)
Facility: Republic County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,104
- Cash Discount Price: $900
- vs. Medicare Baseline: 4.53x 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 453% of the Medicare baseline (a markup of 353%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $1,020 | 418% |
| Aetna | $1,080 | 443% |
| Meritain-All Plans | $1,080 | 443% |
| UnitedHealthcare | $1,104 | 453% |
| First Health-All Plans | $1,140 | 468% |
| Cigna | $1,140 | 468% |
| Midlands Choice-All Plans | $1,140 | 468% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Republic County Hospital in Belleville, KS, the facility's cash price is $900, which is lower than the median negotiated rate of $1,080 paid by insurance carriers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance plans often pay significantly more than the cash price due to administrative costs and contract dynamics. If you have a high-deductible plan, paying the cash price of $900 upfront might result in lower out-of-pocket costs compared to your insurance allowing a higher negotiated rate, especially if you have not yet met your deductible. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these programs can further reduce the final amount owed.
This service is priced at a 4.5% markup relative to the Medicare benchmark of $243.77, which serves as a scientifically validated baseline for the true cost of care. Although the data provided does not include specific county or state average comparisons for this procedure, the facility's pricing structure aligns with standard commercial negotiation practices where rates often exceed cash prices. To avoid unexpected balance billing, patients should verify that all services are covered under their plan's network agreements before scheduling. If you receive a bill that appears to include charges for services not rendered or items that were cancelled, you have the right to request a formal itemized audit to identify errors, as over 80% of hospital bills contain discrepancies that can be resolved through a written dispute.