CT scan, abdomen and pelvis (no contrast)
Facility: Minneola District Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $490
- Cash Discount Price: $432
- vs. Medicare Baseline: 2.01x 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 201% of the Medicare baseline (a markup of 101%). 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 |
|---|---|---|
| Va Community Care Program-All Plans | $76 - $412 | 31% |
| UnitedHealthcare | $76 - $615 | 31% |
| Humana | $76 - $412 | 31% |
| Providrs Care Network-All Plans | $152 - $523 | 62% |
| Aetna | $152 - $615 | 62% |
| Medicaid / KanCare | $152 - $615 | 62% |
| Blue Cross Blue Shield | $458 | 188% |
| Corporate Plan Management-All Plans | $523 | 215% |
| Preferred Health Care (Coventry)-All Other Plans | $554 | 227% |
| Triwest-All Plans | $554 | 227% |
| Health Partners Of Kansas-All Plans | $584 | 240% |
| Phc (Coventry) Leased Network | $584 | 240% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Minneola District Hospital, the cash price is $432.00, which is lower than the facility's negotiated rates of $490.00 to $554.00 across various payers. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific county or state average benchmarks for this procedure, so a direct comparison to regional averages cannot be made. However, the cash price remains a strong baseline for patients, particularly those with high-deductible plans where paying out-of-pocket may result in lower total costs than the insurance negotiated rates, which often include administrative overheads that inflate the baseline price by 20% to 40%.
Patients should verify their specific plan details before scheduling, as the negotiated rates range from $76 to $615 depending on the insurance carrier, with UnitedHealthcare and Medicaid/KanCare showing the widest ranges. To potentially reduce costs further, individuals should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer fee reductions of 20% to 50% for upfront payment. Additionally, if you receive an itemized bill, review it carefully to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute sent to the billing supervisor.