CT scan, abdomen and pelvis (no contrast)
Facility: Goodland Regional Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $944
- Cash Discount Price: $944
- vs. Medicare Baseline: 3.87x 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 387% of the Medicare baseline (a markup of 287%). 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 | $458 | 188% |
| Wppa | $892 - $944 | 366% |
| UnitedHealthcare | $944 | 387% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Goodland Regional Medical Center in Goodland, KS, the cash median price is $944.00, which matches the median negotiated rate for both Wppa and UnitedHealthcare plans. This facility is a Critical Access Hospital owned by the local government, and its pricing structure is significantly lower than the typical commercial markup seen elsewhere. While the gross chargemaster lists $1,049.00, patients with high-deductible plans or those without insurance may find the cash price most advantageous, as it avoids the administrative layers that often inflate insurance negotiated rates. It is important to note that while the cash rate is competitive, patients should always verify if the facility offers additional "self-pay" or "prompt-pay" discounts before scheduling to ensure they are receiving the lowest possible out-of-pocket cost.
The Medicare benchmark for this procedure is $243.77, which serves as a baseline for evaluating the facility's pricing fairness. The cash price of $944.00 represents a 3.9x multiple of the Medicare rate, reflecting the standard administrative and operational costs associated with commercial billing. Although this markup is higher than the 120% to 150% range often considered fair, it is consistent with the facility's status as a Critical Access Hospital serving a specific geographic area. Consumers should be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, but for non-emergency procedures, patients must ensure they understand their network status to avoid unexpected charges. If a bill is received, requesting a detailed itemized audit is the most effective way to identify any errors or unbundled