CT scan, abdomen and pelvis (no contrast)
Facility: Kingman Healthcare Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $152
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.62x 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.
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 |
|---|---|---|
| Healthy Blue | $152 | 62% |
| Medicaid / KanCare | $152 | 62% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Kingman Healthcare Center in Kingman, KS, the median amount paid by insurance is $2,565.00, which is 60% higher than the Medicare benchmark of $243.77. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the negotiated rate for Healthy Blue and Medicaid/KanCare is $152.00. This negotiated rate is significantly lower than the insurance payment, suggesting that for patients with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to the insurance allowed amount. Patients should verify if the facility offers self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by bypassing administrative processing fees and claims denials.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur from ancillary services like emergency physicians or lab tests if they are not covered by the same contract. To avoid errors, patients should request a full itemized bill showing specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain mistakes such as double-billing or unbundled charges. If a discrepancy is found, a formal written dispute sent to the billing supervisor is more effective than verbal requests. Given that the facility is in-network for the listed payers, the primary focus should be on confirming the patient's deductible status and understanding that the $152.00 negotiated rate represents the maximum allowed amount, not necessarily the lowest possible price