CT scan, abdomen and pelvis (no contrast)
Facility: Mcpherson Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $219
- Cash Discount Price: $1,351
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| UnitedHealthcare | $65 - $3,105 | 27% |
| Tricare | $67 - $193 | 27% |
| Va Ccn - All Plans | $76 - $219 | 31% |
| Blue Cross Blue Shield | $76 - $219 | 31% |
| Ambetter / Centene | $76 - $252 | 31% |
| Humana | $76 - $219 | 31% |
| Healthy Blue Mcr Adv | $76 - $219 | 31% |
| Aetna | $76 - $3,105 | 31% |
| Wellcare Mcr Adv - All Plans | $76 - $219 | 31% |
| Multiplan - All Plans | $95 - $2,794 | 39% |
| Medicaid / KanCare | $152 - $3,105 | 62% |
| Health Blue Mcaid - All Other Plans | $155 - $3,167 | 64% |
| Central Plains - All Plans | $410 - $2,329 | 168% |
| Medical Associates - All Plans | $410 - $2,329 | 168% |
| Cigna | $519 - $2,950 | 213% |
| Health Partners - All Plans | $519 - $2,950 | 213% |
| Wppa - All Plans | $2,174 | 892% |
| Christian Health Aid - All Plans | $2,484 | 1019% |
| First Health - All Plans | $2,950 | 1210% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis (no contrast) at Mcpherson Hospital, the most significant benchmark is that the facility's cash median rate of $1,351 is substantially lower than the gross charge of $1,826, representing a potential savings of $475 for patients paying out-of-pocket. While the facility is a Voluntary non-profit - Private hospital in Kansas with a 2-star rating, the data indicates that commercial insurance plans often pay higher rates than the cash price; for instance, Medicaid / KanCare negotiated rates range from $152 to $3,105, and Aetna rates span from $76 to $3,105. This dynamic suggests that patients with high-deductible plans or those who have not yet met their out-of-pocket maximums might find the cash price more affordable than their insurance negotiated rate, provided they can secure a self-pay or prompt-pay discount from the hospital before scheduling.
The facility's negotiated rates vary significantly across different payers, with Tricare and several other plans having low ends of their rate ranges as low as $65 to $76, while others like Multiplan - All Plans and Cigna have high ends reaching $3,167 and $2,950 respectively. It is important to note that the Medicare amount for this procedure is $243.77, which serves as a baseline for cost transparency, and the commercial negotiated rates are often several times higher than this federal benchmark. To ensure you receive the best possible price, we recommend requesting a formal itemized billing audit to verify all charges and asking the billing department explicitly about any "prompt-pay" discounts