CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Minneola District Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $505
  • Cash Discount Price: $506
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Minneola District Hospital is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.42x the Medicare baseline. Located in 212 Main, Minneola, KS.
Cash / Self-Pay
$506

Average discount available for prompt cash payment at this facility.

Insurance Median
$505

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $506 (142%)
Insurance Median: $505 (142%)
Cash: $506 (142% of Medicare)
Ins. Median: $505 (142% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $80 - $650 22%
Va Community Care Program-All Plans $80 - $436 22%
Humana $80 - $436 22%
Aetna $252 - $650 71%
Providrs Care Network-All Plans $252 - $552 71%
Medicaid / KanCare $252 - $650 71%
Blue Cross Blue Shield $458 128%
Corporate Plan Management-All Plans $552 155%
Triwest-All Plans $585 164%
Preferred Health Care (Coventry)-All Other Plans $585 164%
Phc (Coventry) Leased Network $618 173%
Health Partners Of Kansas-All Plans $618 173%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis with contrast at Minneola District Hospital, the cash median price is $506.00, which is lower than the facility's negotiated rates of $585.00. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average figures for this procedure to compare against. However, the cash price of $506.00 is notably lower than the Medicare benchmark amount of $356.43 when adjusted for the facility's specific pricing context, though the provided "vs_medicare" ratio of 1.4 suggests the facility's overall pricing structure is 40% higher than the standard Medicare rate. Patients with high-deductible plans should consider paying the cash price directly, as it avoids the administrative overhead and potential markups associated with insurance billing cycles.

The facility offers a range of negotiated rates across 12 payers, with the lowest allowed amount being $80 and the highest at $618. For example, UnitedHealthcare and the Va Community Care Program have negotiated rates ranging from $80 to $650, while Blue Cross Blue Shield and Triwest have fixed negotiated rates of $585.00. It is important to note that these negotiated rates are often higher than the cash price due to the costs of claims processing and contract management. Before scheduling, patients should explicitly request a "self-pay" or "prompt-pay" discount, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, patients should avoid accepting summary bills and instead demand a detailed, itemized statement to ensure

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 212 Main, Minneola, KS 67865
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals