CT scan, abdomen and pelvis (no contrast)
Facility: Morris County Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,499
- Cash Discount Price: $2,306
- vs. Medicare Baseline: 6.15x 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 615% of the Medicare baseline (a markup of 515%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $263 | 108% |
| Blue Cross Blue Shield | $456 - $1,499 | 187% |
| UnitedHealthcare | $1,499 - $3,843 | 615% |
| Coventry Mcr | $1,499 | 615% |
| Choice Care Mcr Adv-All Plans | $1,499 | 615% |
| Va Ccn-All Plans | $1,499 | 615% |
| Cigna | $2,780 | 1140% |
| Aetna | $3,443 | 1412% |
| Coventry Comm-All Other Plans | $3,459 | 1419% |
| Multiplan-All Plans | $3,459 | 1419% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Morris County Hospital in Council Grove, Kansas, the facility's cash price is $2,306.00, which is lower than the state average of $2,630.00. While the hospital's negotiated rates with major payers like Blue Cross Blue Shield and UnitedHealthcare range from $456 to $3,843, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance negotiated rate exceeds $2,306.00. Because this facility is a Critical Access Hospital with government local ownership, it is important to verify your specific plan's allowed amount before scheduling, as commercial rates can vary significantly even within the same network.
To avoid unexpected costs, patients should explicitly request a "self-pay" or "prompt-pay" discount from the billing department before check-in, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you receive a bill after insurance processing, do not accept a summary invoice; instead, demand a full itemized statement to identify any errors, unbundled codes, or services not rendered, since over 80% of hospital bills contain inaccuracies. Additionally, if you are concerned about balance billing from out-of-network providers, remember that the No Surprises Act protects you from being billed for the difference between the provider's full charge and your insurance's allowed amount for emergency care and non-emergency services at in-network facilities.