CT scan, abdomen and pelvis (no contrast)
Facility: Saint John Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $225
- Cash Discount Price: $224
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Medicaid / KanCare | $131 | 54% |
| Comp Alliance Workers Comp | $167 | 69% |
| Oha Networks | $180 | 74% |
| Worker Compensation | $185 | 76% |
| UnitedHealthcare | $198 - $315 | 81% |
| Celtic | $202 - $360 | 83% |
| Healthy Blue | $202 - $236 | 83% |
| Aetna | $225 - $257 | 92% |
| Tricare | $225 | 92% |
| Cigna | $225 | 92% |
| Medicare (plans) | $225 | 92% |
| Midland Care Connection | $225 | 92% |
| Blue Cross Blue Shield | $228 - $480 | 94% |
| Kansas Superior Select | $229 | 94% |
| Employer Direct Healthcare | $315 | 129% |
| Well Path | $315 | 129% |
| Corizon | $315 | 129% |
| Centurion | $337 | 138% |
| Naphcare | $348 | 143% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Saint John Hospital in Leavenworth, KS, the cash price is $224, which is significantly lower than the facility's negotiated rates ranging from $131 to $480 depending on the insurance plan. While the hospital's cash rate is well below the gross charge of $3,521, patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash amount. The facility offers a prompt-pay discount for those who settle the bill immediately, and patients should explicitly request self-pay pricing before scheduling to avoid being processed through the insurance billing cycle, which often results in higher out-of-pocket costs.
When comparing pricing against the state average, the facility's cash rate of $224 is notably higher than the state median paid amount of $1761 for this procedure, though this comparison highlights that the state average reflects a mix of payer types including Medicaid and workers' compensation which often have lower negotiated rates. It is important to note that Medicare, which serves as a benchmark for fair pricing, covers this service at $243.77, meaning the cash price is nearly identical to the Medicare allowed amount. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, but they should still request an itemized bill to ensure no unbundled charges or services not rendered are included in the final invoice.