CT scan, abdomen and pelvis (no contrast)
Facility: Wesley Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $4,793
- Cash Discount Price: $27,707
- vs. Medicare Baseline: 19.66x 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 1966% of the Medicare baseline (a markup of 1866%). 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 | $131 | 54% |
| Medicaid / KanCare | $135 | 55% |
| Aetna | $136 - $9,891 | 56% |
| Amerigroup | $136 | 56% |
| First Health | $176 - $12,773 | 72% |
| Multiplan | $183 - $24,936 | 75% |
| Blue Cross Blue Shield | $480 | 197% |
| United | $518 - $12,468 | 212% |
| Health Partners Of Kansas | $4,793 - $13,854 | 1966% |
| Wppa | $4,821 | 1978% |
| Ambetter / Centene | $4,987 | 2046% |
| Preferred Health Choices | $5,237 | 2148% |
| Medical Associates Health Plan | $5,237 | 2148% |
| Spirit Aerosystems | $8,866 | 3637% |
| Triwest Healthcare Alliance | $18,010 | 7388% |
| Usa Managed Care | $23,551 | 9661% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Wesley Medical Center in Wichita, KS, the cash price is $27,707, which matches the facility's cash median. This rate is significantly higher than the state average, reflecting the facility's proprietary ownership and location. While commercial insurance plans like Aetna and First Health offer negotiated rates as low as $131, these figures often represent the maximum allowed amount rather than the actual out-of-pocket cost for patients. It is important to note that for individuals with high-deductible plans, paying the cash price upfront may sometimes result in lower total costs if the insurance negotiated rate exceeds the cash price, though this depends on specific plan details and deductible status.
Patients should be aware that commercial insurance contracts often create a ceiling on what payers will allow, which can sometimes be higher than the cash rate due to administrative overheads. Additionally, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur from ancillary services or out-of-network specialists. To minimize costs, patients are encouraged to request a self-pay or prompt-pay discount directly from the hospital before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50%. If a large bill is received, patients should demand a full itemized audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through formal written disputes.