CT scan, abdomen and pelvis (no contrast)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $238
- Cash Discount Price: $2,868
- vs. Medicare Baseline: 0.98x 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.
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 |
|---|---|---|
| Humana | $89 - $231 | 37% |
| Aetna | $89 - $3,751 | 37% |
| Medicaid / KanCare | $89 - $235 | 37% |
| Blue Cross Blue Shield | $131 - $578 | 54% |
| UnitedHealthcare | $206 - $2,974 | 85% |
| Elara Caring Aspire Hospice [20433] | $231 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $231 | 95% |
| Kindful Hospice Contracted [320434] | $231 | 95% |
| Cross Timbers Hospice [20098] | $231 | 95% |
| Halo Hcr Inc Hospice [20432] | $231 | 95% |
| Medicare (plans) | $231 - $240 | 95% |
| Kindful Hospice [20434] | $231 | 95% |
| Pace Of The Ozarks Contracted [320518] | $231 | 95% |
| Tricare | $231 | 95% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $231 | 95% |
| Mercy Hospice Okc [20252] | $231 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $231 | 95% |
| Ambetter / Centene | $235 | 96% |
| Home State Health Plan Contracted [320187] | $235 | 96% |
| Providrs Care Network Contracted [320484] | $447 | 183% |
| Health Choice Contracted [320166] | $544 | 223% |
| Medica Contracted [320239] | $734 | 301% |
| Cigna | $912 - $935 | 374% |
| United Medical Resources Contracted [320454] | $2,974 | 1220% |
| Healthlink Contracted [320179] | $3,530 | 1448% |
| Workers Comp [20426] | $3,530 | 1448% |
| Yuzu Health Contracted [320521] | $3,530 | 1448% |
| Ebms Contracted [320493] | $3,530 | 1448% |
| Reflect Health Contracted [320492] | $3,530 | 1448% |
| Edison Health Solutions Contracted [320502] | $3,530 | 1448% |
| Mercy Benefit Admin Contracted [320251] | $3,530 | 1448% |
| Imagine 360 Contracted [320494] | $3,530 | 1448% |
| Aither Health Contracted [320449] | $3,530 | 1448% |
| Auxiant Contracted [320462] | $3,530 | 1448% |
| American Healthcare Alliance Contracted [320020] | $3,530 | 1448% |
| First Health Contracted [320128] | $3,751 | 1539% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Mercy Hospital Pittsburg, Inc, the facility's cash price is $2,868, which is lower than the gross charge of $4,413. While many commercial payers negotiate rates significantly higher than the cash price—ranging from $231 for some plans up to $3,751 for others—patients with high-deductible plans may find paying cash directly more cost-effective. The facility offers a prompt-pay discount for upfront payment, which can reduce the final bill, so it is advisable to ask about self-pay rates and request a waiver of insurance submission before scheduling to avoid automatic claims processing.
The negotiated rates for this procedure vary widely depending on the insurance carrier, with some plans paying as little as $89 and others up to $3,751. Notably, the median negotiated amount across all payers is $238, which is substantially lower than the cash price, suggesting that for most insured patients, using their insurance will result in a lower out-of-pocket cost than paying cash. However, patients should be aware that balance billing could occur if they receive care from out-of-network providers, though the No Surprises Act protects against such unexpected bills for emergency services and non-emergency services at in-network facilities. Always verify your specific plan's allowed amount and deductible status before proceeding to ensure you are not paying more than necessary.