CT scan, abdomen and pelvis (no contrast)
Facility: Mitchell County Hospital Health Systems
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $3,283
- Cash Discount Price: $3,110
- vs. Medicare Baseline: 13.47x 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 1347% of the Medicare baseline (a markup of 1247%). 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 | $244 - $3,456 | 100% |
| Blue Cross Blue Shield | $458 | 188% |
| Triwest Well Mark All Plans | $2,938 | 1205% |
| Aetna | $3,110 | 1276% |
| First Health-All Plans | $3,110 | 1276% |
| Pref Hlth Care Sytms Comm - All Plans | $3,110 | 1276% |
| Multiplan Ppo - All Plans | $3,283 | 1347% |
| Phc Leased Ntwrk Access - All Plans | $3,283 | 1347% |
| Auxiant-All Plans | $3,283 | 1347% |
| Health Partners Ks-All Plans | $3,421 | 1403% |
| Cigna | $3,421 | 1403% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at Mitchell County Hospital Health Systems in Beloit, KS, the cash price is $3,110, which matches the median negotiated rate of $3,283 and the median paid amount. This cash price is significantly lower than the gross chargemaster rate of $3,456, offering potential savings for patients who pay out-of-pocket. While the facility is a Critical Access Hospital with a government-local ownership structure, the cash rate aligns closely with the median paid figure, suggesting that paying directly may be more cost-effective than relying on insurance for this specific service, particularly if your plan has a high deductible.
The data indicates that UnitedHealthcare offers the lowest negotiated rate at $244, though this figure appears inconsistent with the other payer rates and the gross amount; however, the majority of payers, including Blue Cross Blue Shield, Triwest Well Mark All Plans, and Aetna, have a single plan rate of $458, $2,938, and $3,110 respectively, with several others ranging between $3,110 and $3,421. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details and ask the hospital about self-pay or prompt-pay discounts before scheduling. To ensure accuracy, patients should request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered.