CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Bob Wilson Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,714
  • Cash Discount Price: $1,818
  • vs. Medicare Baseline: 15.24x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Bob Wilson Memorial Hospital is $3,714. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,818. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.24x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$1,818

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,714

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,818 (746%)
Insurance Median: $3,714 (1524%)
Cash: $1,818 (746% of Medicare)
Ins. Median: $3,714 (1524% of 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 1524% of the Medicare baseline (a markup of 1424%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centura Employee Plan $337 138%
Blue Cross Blue Shield $641 263%
UnitedHealthcare $1,455 - $3,791 597%
Medicare (plans) $1,455 597%
Humana $1,455 597%
Aetna $1,455 - $3,637 597%
Kansas Health $1,455 597%
Multiplan $4,091 - $4,228 1678%
Health Partners Of Kansas $4,273 1753%
Wppa $4,319 1772%

Consumer Guidance & Cost Commentary

For a CT scan of the abdomen and pelvis without contrast at Bob Wilson Memorial Hospital in Ulysses, KS, the cash median price is $1,818, while the median negotiated rate across insurance plans is $3,714. This significant difference highlights that paying out-of-pocket can be substantially cheaper than using insurance, especially for patients with high deductibles where the insurer's negotiated rate might exceed the cash price. Although the facility is a Critical Access Hospital owned by a voluntary non-profit church, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees.

When comparing pricing against federal benchmarks, the Medicare allowed amount for this procedure is $243.77, which serves as a baseline for evaluating the facility's cost structure. The gross charge of $4,546 represents the full list price before any discounts, but the actual amounts paid by various payers range from $337 for Centura Employee Plans to $4,319 for WPPA, with UnitedHealthcare and Aetna showing a wide variance between $1,455 and $3,791. While the data does not provide specific state or county average comparisons for this code, the substantial gap between the Medicare rate and the commercial negotiated rates underscores the importance of verifying your specific plan's allowed amount and confirming whether the facility is truly in-network to avoid unexpected balance billing or out-of-network surcharges.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals