CT scan, abdomen and pelvis (no contrast)
Facility: William Newton Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $829
- Cash Discount Price: $2,302
- vs. Medicare Baseline: 3.40x 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 340% of the Medicare baseline (a markup of 240%). 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 | $456 - $829 | 187% |
| Triwest- All Plans | $804 | 330% |
| UnitedHealthcare | $829 - $2,072 | 340% |
| Ambetter / Centene | $829 - $2,302 | 340% |
| Providrs Care Nexus | $1,409 | 578% |
| Providrs Care - All Other Plans | $1,611 | 661% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis (no contrast) at William Newton Hospital in Winfield, KS, the cash price is $2,302.00, which matches the facility's median negotiated rate. This cash price is significantly higher than the state average, as indicated by a 3.4x markup relative to the Medicare benchmark of $243.77. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should be aware that commercial insurance plans like Blue Cross Blue Shield and Triwest-All Plans have negotiated rates ranging from $456 to $829, which are lower than the cash price. However, if a patient has a high-deductible plan that has not yet met their out-of-pocket maximum, paying the cash price upfront could result in lower total costs compared to the insurance negotiated rate, provided the patient can secure a prompt-pay discount.
To minimize out-of-pocket expenses, patients should proactively contact the hospital billing department before scheduling to request self-pay or prompt-pay discounts, which can reduce the $2,302.00 charge by 20% to 50%. It is crucial to sign a waiver of insurance submission to ensure the facility processes the account as a self-pay case rather than submitting a claim that would trigger the higher negotiated rate. Additionally, patients should request a full itemized bill to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute. Given the facility's location in Winfield (ZIP 67156), comparing these specific charges against local county averages is essential