CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Bob Wilson Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,174
  • Cash Discount Price: $2,044
  • vs. Medicare Baseline: 11.71x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Bob Wilson Memorial Hospital is $4,174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,044. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.71x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$2,044

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,174

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,044 (573%)
Insurance Median: $4,174 (1171%)
Cash: $2,044 (573% of Medicare)
Ins. Median: $4,174 (1171% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1171% of the Medicare baseline (a markup of 1071%). 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 95%
Blue Cross Blue Shield $641 180%
UnitedHealthcare $1,635 - $4,261 459%
Aetna $1,635 - $4,088 459%
Humana $1,635 459%
Kansas Health $1,635 459%
Medicare (plans) $1,635 459%
Multiplan $4,599 - $4,752 1290%
Health Partners Of Kansas $4,803 1348%
Wppa $4,854 1362%

Consumer Guidance & Cost Commentary

For the CT scan of the abdomen and pelvis with contrast at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $2,044, which is significantly lower than the median negotiated rate of $4,174 paid by insurance plans. While Medicare sets a benchmark of $356.43 for this service, commercial payers negotiate rates that range widely, with UnitedHealthcare and Aetna offering a spread between $1,635 and $4,261. Patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $2,044, as paying out-of-pocket could result in immediate savings compared to the administrative costs and higher allowed amounts associated with insurance billing.

To maximize potential savings, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling the procedure, as these upfront fee reductions can lower the final cost by 20% to 50%. It is important to verify that the facility is in-network for your specific plan to avoid balance billing, though the No Surprises Act protects patients from surprise out-of-network charges for emergency care and non-emergency services at in-network facilities. Given that over 80% of hospital bills contain errors, receiving a detailed, itemized statement of charges is essential to identify any unbundled codes or services not rendered, ensuring the final amount reflects the accurate cost of care rather than inflated summary totals.

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