CT scan, abdomen and pelvis (no contrast)
Facility: University Of Kansas Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $4,225
- Cash Discount Price: $1,742
- vs. Medicare Baseline: 17.33x 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 1733% of the Medicare baseline (a markup of 1633%). 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 |
|---|---|---|
| UnitedHealthcare | $223 - $356 | 91% |
| Workers Comp [503999901] | $223 - $8,275 | 91% |
| Humana | $223 - $227 | 91% |
| Ku Athletics [503200094] | $223 | 91% |
| Triwest [503201703] | $223 | 91% |
| Medicare (plans) | $223 - $227 | 91% |
| Devoted [503200068] | $223 | 91% |
| Aetna | $223 - $312 | 91% |
| Lasso Healthcare [503999926] | $223 | 91% |
| Tricare | $223 | 91% |
| Allwell [503200078] | $229 | 94% |
| Blue Cross Blue Shield | $229 - $6,686 | 94% |
| American Health Plans [503200968] | $234 | 96% |
| Oscar [503201609] | $267 | 110% |
| Centurion [5032000966] | $290 | 119% |
| Wellfit [503301514] | $368 | 151% |
| Centivo [5032000982] | $368 | 151% |
| Ambetter / Centene | $379 | 155% |
| 6 Degrees Health [503999050] | $390 - $557 | 160% |
| Alt Wppa [5032000964] | $446 - $5,277 | 183% |
| Occunet [503999930] | $468 | 192% |
| Fort Hays State Student Athletes [5032000960] | $468 | 192% |
| Multiplan [503200057] | $601 | 247% |
| Claimdoc [503301509] | $601 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $668 | 274% |
| Larned State Hospital [503200090] | $2,570 | 1054% |
| Health Plan Inc [503999941] | $4,094 | 1679% |
| Alt Carelon Behavioral Health [503200905] | $4,356 | 1787% |
| Accarent Health [503999034] | $4,356 | 1787% |
| Php [503200005] | $5,227 - $6,437 | 2144% |
| Allied National [503999937] | $5,227 | 2144% |
| Healthlink [503200007] | $5,277 - $6,437 | 2165% |
| Inter-Americas Insurance [503999032] | $5,277 | 2165% |
| Cerner [503200038] | $5,277 | 2165% |
| Geha [503200036] | $5,277 | 2165% |
| Med-Pay [503200040] | $5,277 | 2165% |
| First Health [5032000110] | $5,741 | 2355% |
| Aha-Healthcare Preferred [503200050] | $5,741 | 2355% |
| Correct Care Solutions [50311253] | $6,098 | 2502% |
| Ascension Living Hope [503201517] | $6,098 | 2502% |
| Coeur Plan Services [503301517] | $6,098 | 2502% |
| Consolidated Billing [50311256] | $6,098 | 2502% |
| Orscheln Industries [503201608] | $6,533 | 2680% |
| Alt Lineco [5032000976] | $6,686 | 2743% |
| Empire Plan/Nyship [503200705] | $6,686 | 2743% |
| Alt Lucent Health Solutions [503202603] | $6,686 | 2743% |
| Quiktrip [5032000412] | $6,969 | 2859% |
| Cigna | $6,969 | 2859% |
| Century Health Solutions [503200054] | $6,969 | 2859% |
| Point Comfort Underwriters [503200018] | $6,969 | 2859% |
| Meritain Health [503200039] | $7,317 | 3002% |
| Wppa [503200056] | $7,317 | 3002% |
| Sanford Health Plan [503999027] | $7,840 | 3216% |
| Employers Health Network [503999025] | $7,840 | 3216% |
| Usa Managed Care [503999030] | $7,840 | 3216% |
| Plan Care America [503999026] | $7,840 | 3216% |
| Three Rivers Provider Network [503999029] | $7,840 | 3216% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at the University Of Kansas Hospital, the gross charge is $8,711, which is significantly higher than the state average cash rate of $1,742. While the facility's cash median is $1,742, the negotiated rates vary widely depending on the payer; for instance, UnitedHealthcare pays up to $356, whereas Blue Cross Blue Shield pays up to $6,686. The Medicare amount is set at $243.77, and the facility's negotiated rate is $4,225, which is higher than the cash price. It is important to note that patients with high-deductible plans might find the cash price of $1,742 more affordable than the negotiated rates if their insurance allows for balance billing, as the commercial negotiated rates often exceed the cash price due to administrative structures and contract dynamics.
The data indicates that the median negotiated rate of $4,225 is substantially higher than the median paid amount of $266, highlighting the significant difference between what insurers pay and what patients might ultimately owe. To minimize costs, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing the costly insurance claims cycle. Additionally, since over 80% of hospital bills contain errors, consumers should request a full itemized CPT-coded bill rather than accepting a summary invoice, which may hide unbundled charges or services not rendered. If a balance bill arises from an out-of-network provider, patients should utilize the No Surprises Act to dispute