CT scan, abdomen and pelvis (no contrast)
Facility: Centura St. Catherine-Dodge City
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $4,426
- Cash Discount Price: $2,691
- vs. Medicare Baseline: 18.16x 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 1816% of the Medicare baseline (a markup of 1716%). 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 |
|---|---|---|
| Medicare (plans) | $92 | 38% |
| Kaiser | $92 | 38% |
| Cigna | $92 | 38% |
| Blue Cross Blue Shield | $92 - $565 | 38% |
| Kansas Health | $92 | 38% |
| Aetna | $92 - $5,381 | 38% |
| Humana | $92 | 38% |
| Centura Employee Plan | $337 | 138% |
| UnitedHealthcare | $4,426 | 1816% |
| Wpaa | $4,709 | 1932% |
| Christian Health Aid | $5,381 | 2207% |
| Multiplan | $5,381 - $6,054 | 2207% |
| Health Partners Of Kansas | $6,054 | 2483% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Centura St. Catherine-Dodge City, the facility's cash median price is $2,691.00, which is significantly lower than the state average of $4,426.00. While many insurance plans negotiate rates that fall between $92 and $6,054, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and asking for a prompt-pay discount before scheduling. It is important to note that while the facility is in-network for most payers, the negotiated rates vary widely; for example, Aetna plans range from $92 to $5,381, whereas UnitedHealthcare and Wpaa have fixed negotiated rates of $4,426 and $4,709 respectively. Patients should verify their specific deductible status and request a self-pay classification to ensure they are not billed the full negotiated amount if their insurance has not yet covered the service.
The facility's Medicare benchmark rate is $243.77, and the actual Medicare payment is $179.00, which is 18.2% of the gross charge of $6,727.00. This highlights that commercial negotiated rates can be substantially higher than the federal baseline, with some payer ranges reaching up to $6,054. To avoid unexpected costs, consumers should request an itemized billing audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Additionally, under the No Surprises Act, patients are protected from balance billing for out