CT scan, abdomen and pelvis (no contrast)
Facility: Osborne County Memorial Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,235
- Cash Discount Price: $1,159
- vs. Medicare Baseline: 5.07x 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 507% of the Medicare baseline (a markup of 407%). 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 |
|---|---|---|
| UnitedHealthcare | $1,037 | 425% |
| Health Partners Of Kansas | $1,173 | 481% |
| Wppa | $1,296 | 532% |
| Blue Cross Blue Shield | $1,337 | 548% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Osborne County Memorial Hospital in Osborne, KS, the cash price is $1,159.00, which is lower than the facility's gross charge of $1,364.00. While the hospital is in-network for four payers, their negotiated rates range from $1,037 to $1,337, meaning the cash price is competitive but not the absolute lowest available. It is important to note that for patients with high-deductible plans, paying cash upfront can sometimes be more cost-effective than using insurance, as the negotiated rates paid by insurers often exceed the cash price. To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final bill.
The facility's pricing is evaluated against federal benchmarks, with the Medicare amount for this service set at $243.77. The cash price of $1,159.00 represents a 5.1x markup compared to the Medicare rate, which is a standard metric for understanding the true cost of care versus commercial rates. Although the data does not provide specific county or state average comparisons for this specific procedure, the facility is a Critical Access Hospital with government-local ownership, which often influences its pricing structure. Consumers should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still advisable to request an itemized bill to verify all charges and ensure no unbundled codes or services not rendered are included.