CT scan, abdomen and pelvis (no contrast)
Facility: Stormont Vail Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $202
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.83x 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.
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 |
|---|---|---|
| Ambetter / Centene | $69 - $202 | 28% |
| UnitedHealthcare | $69 - $202 | 28% |
| Blue Cross Blue Shield | $70 - $1,299 | 29% |
| Humana | $218 - $222 | 89% |
| Aetna | $218 - $222 | 89% |
Consumer Guidance & Cost Commentary
For the CPT code 74176, representing a CT scan of the abdomen and pelvis without contrast, Stormont Vail Hospital in Topeka, KS, has a median negotiated rate of $204.00, which is 80% of the Medicare benchmark of $243.77. This rate falls within the range of $69 to $222 across five different insurance plans, including Ambetter/Centene, UnitedHealthcare, Blue Cross Blue Shield, Humana, and Aetna. While the facility is a voluntary non-profit acute care hospital with a facility rating of 4, patients should note that commercial negotiated rates often include administrative overhead and can exceed the true cost baseline established by Medicare. Because the facility's cash median is not listed, patients with high-deductible plans might find that paying cash directly could result in lower out-of-pocket costs if the insurance allowed amount exceeds the cash price, though this requires direct verification with the hospital.
To maximize savings, consumers should proactively request "self-pay" or "prompt-pay" discounts before scheduling the procedure, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance claims processing. It is also important to avoid relying solely on summary bills, which may obscure individual charges; instead, patients should demand a full itemized statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. While the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients must still verify their deductible status and ensure they are not inadvertently signing away rights to dispute out-of-network ancillary services