CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Frankfort Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,275
  • Cash Discount Price: $5,269
  • vs. Medicare Baseline: 5.23x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Frankfort Regional Medical Center is $1,275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,269. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.23x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
$5,269

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,275

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: $5,269 (2161%)
Insurance Median: $1,275 (523%)
Cash: $5,269 (2161% of Medicare)
Ins. Median: $1,275 (523% 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 523% of the Medicare baseline (a markup of 423%). 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
Blue Cross Blue Shield $422 173%
Molina $422 173%
United $422 - $2,371 173%
Humana $426 175%
Corvel $846 347%
Prime Health $846 347%
Coventry Cares $948 389%
Signature Advantage $1,001 411%
Cigna $1,549 635%
Essence Healthcare $2,371 973%
Baptist Health Network $2,845 1167%
Hospice Of Central Kentucky $3,320 1362%
Occupational Mc Alliance $4,215 1729%
Multiplan $5,006 2054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals