CT scan, abdomen and pelvis (no contrast)
Facility: Girard Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,575
- Cash Discount Price: $2,700
- vs. Medicare Baseline: 6.46x 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 646% of the Medicare baseline (a markup of 546%). 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 | $480 - $1,575 | 197% |
| Aetna | $1,575 - $7,875 | 646% |
| Medicare (plans) | $1,575 | 646% |
| Kansas Superior Select-All Plans | $1,575 | 646% |
| UnitedHealthcare | $1,575 - $4,275 | 646% |
| Ambetter / Centene | $1,575 | 646% |
| Humana | $1,575 | 646% |
| Multiplan-All Plans | $4,162 | 1707% |
| Uhhis-All Plans | $4,275 | 1754% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Girard Medical Center in Girard, Kansas, the facility's cash median price is $2,700, while the median negotiated rate paid by insurance plans is $1,575. This specific procedure is billed at a 6.5% markup relative to the Medicare benchmark of $243.77, which serves as the objective baseline for fair pricing. Although the cash price is higher than the negotiated rate, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allowed amount exceeds the cash price, making it essential to verify your specific plan's coverage before scheduling. Because this facility is a Critical Access Hospital owned by a government hospital district, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts that could further reduce the final cost.
This service is covered by nine different payers, with negotiated rates ranging from $480 to $7,875 depending on the specific insurance plan. While the data does not provide explicit state or county average comparisons for this specific code, the facility's pricing structure is anchored by the Medicare rate, which reflects the true cost of delivery rather than the inflated chargemaster list price. To avoid unexpected costs, consumers should request a full itemized bill containing specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. If you receive a balance bill for out-of-network services at this in-network facility, you have the right to dispute the amount under the No Surprises Act, and you should never sign away your rights to dispute