CT scan, abdomen and pelvis (no contrast)
Facility: Providence Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $236
- Cash Discount Price: $224
- vs. Medicare Baseline: 0.97x 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 |
|---|---|---|
| Aetna | $81 - $257 | 33% |
| Medicaid / KanCare | $131 | 54% |
| Comp Alliance - Fka Compresults Worker Compensation | $167 | 69% |
| Oha Networks | $180 | 74% |
| Worker Compensation | $185 | 76% |
| UnitedHealthcare | $198 - $387 | 81% |
| Celtic | $202 - $360 | 83% |
| Healthy Blue | $202 - $236 | 83% |
| Medicare (plans) | $225 | 92% |
| Cigna | $225 | 92% |
| Tricare | $225 | 92% |
| Midland Care Connection | $225 | 92% |
| Kansas Superior Select | $236 | 97% |
| Corizon | $292 | 120% |
| Employer Direct Healthcare | $315 | 129% |
| Well Path Prison | $315 | 129% |
| Centurion | $337 | 138% |
| Naphcare | $348 | 143% |
| Blue Cross Blue Shield | $360 - $581 | 148% |
| First Health | $750 | 308% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Providence Medical Center in Kansas City, KS, the facility's cash price is $224.00, which is significantly lower than the state average of $767.00. While many insurance plans negotiate rates ranging from $81 to $750, patients with high-deductible plans may find paying the cash price upfront more economical, as the negotiated rates often exceed the cash amount. To secure the lowest possible cost, it is essential to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50% by bypassing costly insurance claims processing.
The facility's Medicare benchmark rate is $243.77, which serves as a reliable baseline for evaluating commercial pricing, as it reflects the true cost of care rather than inflated list prices. Although the gross charge is $3,521.00, the actual amount paid by insurance varies widely, with the lowest negotiated rate being $81 and the highest reaching $750. Patients should be aware that balance billing is largely prohibited for emergency services and non-emergency care at in-network facilities under the No Surprises Act, but they must still verify their specific plan details and request an itemized bill to ensure no unbundled codes or services not rendered are included in the final invoice.