CT scan, abdomen and pelvis (no contrast)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,526
- Cash Discount Price: $3,096
- vs. Medicare Baseline: 6.26x 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 626% of the Medicare baseline (a markup of 526%). 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 |
|---|---|---|
| Medicaid / KanCare | $84 | 34% |
| Blue Cross Blue Shield | $531 - $1,526 | 218% |
| Tricare | $816 - $1,470 | 335% |
| Medicare (plans) | $847 - $1,526 | 347% |
| Medadv_Uhc | $847 - $1,526 | 347% |
| Medadv_Allwell | $847 - $1,526 | 347% |
| Humana | $847 - $1,526 | 347% |
| Va_Ccn | $847 - $1,526 | 347% |
| Aetna | $847 - $1,526 | 347% |
| Ambetter / Centene | $1,334 - $2,404 | 547% |
| Wppa_Providrscare | $2,197 - $3,959 | 901% |
| United | $2,202 - $3,968 | 903% |
| Hpk | $2,514 - $4,531 | 1031% |
| Coventry | $2,514 - $4,531 | 1031% |
| Cigna | $2,514 - $4,531 | 1031% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Neosho Memorial Regional Medical Center in Chanute, Kansas, the cash price is $3,096, while the median amount paid by insurance is $1,837. This facility, a Critical Access Hospital with government local ownership, has a negotiated rate of $1,526, which is lower than the cash price and significantly below the gross charge of $4,128. When comparing these figures to the broader market, the facility's cash rate is notably higher than the state average for this procedure, though the specific county average is not provided in the available data. Patients should be aware that while insurance often results in a lower final payment due to negotiated rates, the cash price can sometimes be more economical for those with high-deductible plans if their insurance allowed amount exceeds the cash price.
The facility's pricing structure reflects standard commercial dynamics where negotiated rates serve as a ceiling to protect in-network members, yet these rates often remain higher than cash prices due to administrative overhead and contract structures. For this specific service, the Medicare benchmark rate is $243.77, which serves as the objective baseline for evaluating the facility's markup; the cash price is approximately 12.6 times the Medicare rate, while the negotiated rate is roughly 6.3 times higher. To minimize costs, patients should proactively request a full itemized bill to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit. Additionally, inquiring about prompt-pay discounts before scheduling can provide immediate fee reductions, as hospitals often offer 20%