CT scan, abdomen and pelvis (no contrast)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,420
- Cash Discount Price: $1,039
- vs. Medicare Baseline: 5.83x 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 583% of the Medicare baseline (a markup of 483%). 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 |
|---|---|---|
| Hooray Health [8000] | $1,420 | 583% |
| Lucent Health [6000] | $1,420 | 583% |
| Oncology Patient Assistance Programs [2295] | $1,420 | 583% |
| Black Lung [6055] | $1,420 | 583% |
| Healthcare Highways [2210] | $1,420 | 583% |
| Blue Cross Blue Shield | $1,420 | 583% |
| Web Tpa [2115] | $1,420 | 583% |
| Aetna | $1,420 | 583% |
| Department Of Corrections [1340] | $1,731 | 710% |
| Healthpartners [1500] | $2,002 | 821% |
| American Postal Workers Union [1070] | $2,002 | 821% |
| Cigna | $2,002 | 821% |
| National Association Of Letter Carriers [1695] | $2,002 | 821% |
| Humana | $2,043 | 838% |
| American Healthcare [1055] | $2,691 | 1104% |
| First Health [1375] | $2,691 | 1104% |
| Administrative Concepts [1005] | $2,691 | 1104% |
| Multiplan [1680] | $2,691 | 1104% |
| Coventry Healthcare [1320] | $2,840 | 1165% |
| Ks Disability Determination [6090] | $3,463 | 1421% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at the University of Kansas Health System - St Francis Campus in Topeka, the facility's cash price is $1,039, which is significantly lower than the $3,463 median amount paid by insurance plans. While the gross chargemaster lists at $3,463, the negotiated rates for in-network payers like Blue Cross Blue Shield and Aetna average $1,420, meaning commercial insurance members will pay substantially more than a self-pay patient. This pricing structure highlights the importance of checking your specific plan's deductible status before scheduling, as many patients unknowingly pay the full negotiated rate if their deductible has not yet been met. Additionally, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before check-in, as paying the bill in full upfront can often bypass the administrative overhead and insurance processing fees that inflate the final cost.
When evaluating the true cost of this service, it is essential to compare rates against the Medicare benchmark rather than the hospital's inflated list price. The Medicare allowed amount for this procedure is $243.77, which serves as a scientifically validated baseline for the actual cost of delivery; commercial negotiated rates are often 5 to 6 times higher than this federal rate due to administrative markups and contract dynamics. For patients with high-deductible plans, the cash price of $1,039 may be the most financially prudent option if the insurance negotiated rate exceeds this amount, provided the patient can afford the out-of-pocket expense. To ensure you are not overcharged, always request a detailed, itemized bill that breaks down every CPT code and charge, as summary