CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lindsborg Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,473
  • Cash Discount Price: $1,892
  • vs. Medicare Baseline: 10.14x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lindsborg Community Hospital is $2,473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,892. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.14x the Medicare baseline. Located in 605 W Lincoln Street, Lindsborg, KS.
Cash / Self-Pay
$1,892

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,473

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: $1,892 (776%)
Insurance Median: $2,473 (1014%)
Cash: $1,892 (776% of Medicare)
Ins. Median: $2,473 (1014% 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 1014% of the Medicare baseline (a markup of 914%). 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 $453 186%
Tricare $1,270 521%
Coventry Mcr Adv $1,283 526%
Cigna $2,297 942%
UnitedHealthcare $2,432 998%
Coventry Comm-All Other Plans $2,432 998%
Multiplan-All Plans $2,513 1031%
Phcs Preferred-All Plans $2,513 1031%
Century Health-All Plans $2,567 1053%
Coventry Wc $2,567 1053%
Wppa-All Plans $2,567 1053%
Health Partners -All Plans $2,567 1053%

Consumer Guidance & Cost Commentary

For the CT scan of the abdomen and pelvis (no contrast) at Lindsborg Community Hospital in Lindsborg, KS, the facility's cash price of $1,892 is lower than the median negotiated rate of $2,513 paid by insurers. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance rates often include administrative overhead and contract premiums that can exceed the actual cost of care. In this specific case, the facility's cash price is also lower than the state average for this procedure, making it a potentially cost-effective option for those who qualify for self-pay discounts.

If you have a high-deductible health plan, paying the cash price of $1,892 upfront may result in significant savings compared to your insurance's negotiated rate of $2,513, especially if you have not yet met your deductible. To maximize these savings, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled in full before discharge. Additionally, since the Medicare benchmark for this service is $243.77, the commercial rates reflect a substantial markup; however, the cash price remains the most transparent baseline for comparison. Always request an itemized bill to verify that no unnecessary charges are included before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 W Lincoln Street, Lindsborg, KS 67456
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals