CT scan, abdomen and pelvis (no contrast)
Facility: Hodgeman County Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,690
- Cash Discount Price: $1,921
- vs. Medicare Baseline: 6.93x 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 693% of the Medicare baseline (a markup of 593%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $435 - $458 | 178% |
| Medicaid / KanCare | $1,537 - $2,401 | 631% |
| Humana | $1,537 | 631% |
| UnitedHealthcare | $1,537 - $2,281 | 631% |
| Triwest - All Plans | $1,537 | 631% |
| Aetna | $1,921 | 788% |
| First Health - All Plans | $2,161 | 886% |
| Health Partners - All Plans | $2,281 | 936% |
| Wppa (Provdrscare) - All Plans | $2,281 | 936% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at Hodgeman County Health Center in Jetmore, KS, the facility's cash median rate is $1,921, which is higher than the state average of $1,806. While commercial insurance plans like Blue Cross Blue Shield and Medicaid/KanCare negotiate rates ranging from $435 to $2,401, these figures often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find paying the cash rate directly more cost-effective than relying on insurance, as the negotiated allowed amounts for many payers can surpass the self-pay price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing the standard insurance billing cycle.
The facility, a government-owned Critical Access Hospital, bills at a rate that is 6.9% above the Medicare benchmark of $243.77, reflecting the typical markup seen in commercial pricing where rates average 200% to 300% of the Medicare baseline. Although the Medicare amount serves as the objective cost baseline, commercial negotiated rates vary significantly across the nine identified payers, with some plans like Humana and Triwest - All Plans settling at the exact cash rate of $1,537, while others such as First Health - All Plans charge $2,161. To ensure transparency, patients should request a full itemized billing audit before payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, under the No Surprises Act