CT scan, abdomen and pelvis (no contrast)
Facility: Lmh
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $240
- Cash Discount Price: $1,377
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Humana | $90 - $240 | 37% |
| Cigna | $90 - $3,679 | 37% |
| UnitedHealthcare | $90 - $3,656 | 37% |
| Medicare (plans) | $90 - $240 | 37% |
| Haskell Indian Health Services | $105 - $240 | 43% |
| Blue Cross Blue Shield | $105 - $3,563 | 43% |
| Ambetter / Centene | $107 - $372 | 44% |
| Allwell | $107 - $245 | 44% |
| Aetna | $1,835 - $4,571 | 753% |
| Non Contracted | $4,405 | 1807% |
| First Health | $5,121 | 2101% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Lmh in Lawrence, KS, the cash median price is $1,377, which is significantly lower than the facility's gross charge of $5,507. While the facility is government-owned and holds a 4-star rating, patients with high-deductible plans may find the cash price more affordable than their insurance negotiated rates, which range from $90 to $5,121 depending on the carrier. It is important to note that commercial negotiated rates often include administrative overhead and can exceed the cash price; therefore, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not paying the full insurance allowed amount.
The Medicare benchmark for this service is $243.77, which serves as a reliable baseline for evaluating the facility's pricing markup rather than the inflated chargemaster list. Although the data does not provide specific county or state average comparisons for this code, the wide variance in negotiated rates across payers—such as the $4405 charged by non-contracted providers versus the $90 low-end rates for some plans—highlights the importance of verifying your specific plan's allowed amount. To avoid unexpected balance billing, patients should request an itemized bill to review every CPT code and ensure no services were unbundled or charged for items not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.