CT scan, abdomen and pelvis (no contrast)
Facility: Overland Park Reg Med Ctr
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $3,403
- Cash Discount Price: $16,101
- vs. Medicare Baseline: 13.96x 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 1396% of the Medicare baseline (a markup of 1296%). 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 |
|---|---|---|
| Amerigroup | $131 | 54% |
| United | $131 - $7,656 | 54% |
| Healthyblue | $134 | 55% |
| Medicaid / KanCare | $135 | 55% |
| Unicare | $136 | 56% |
| Aetna | $136 - $8,676 | 56% |
| Multiplan | $148 - $12,589 | 61% |
| Corvel Corporation | $176 - $11,058 | 72% |
| Oha Network | $183 - $8,506 | 75% |
| Home State Health Plan | $216 | 89% |
| Humana | $238 - $307 | 98% |
| Blue Cross Blue Shield | $248 - $7,315 | 102% |
| Cigna | $272 - $404 | 112% |
| Ambetter / Centene | $2,825 - $3,164 | 1159% |
| Nhc Advantage | $2,886 - $3,232 | 1184% |
| Wppa Providrs Care Network | $3,038 - $3,403 | 1246% |
| Universal Healthcare | $5,316 - $5,954 | 2181% |
| Coventry | $6,106 - $6,839 | 2505% |
| Coventry Kc Mo | $6,228 - $6,975 | 2555% |
| College Park Family Care Center | $6,532 - $7,315 | 2680% |
| Cco, Inc. | $11,392 - $12,759 | 4673% |
| Triwest Health Alliance | $11,392 - $12,759 | 4673% |
| Focus Healthcare Mgmt, Inc | $11,392 - $12,759 | 4673% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at Overland Park Reg Med Ctr, the cash price is $16,101, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $243.77, reflecting a markup of 1400% over the federal baseline. While commercial insurance contracts typically range from 200% to 300% of Medicare rates, this specific service shows a much wider variance across payers, with negotiated amounts for some plans reaching up to $12,759. Patients should be aware that while in-network insurance offers protection against balance billing, the allowed amounts can still exceed cash prices; for instance, the median negotiated rate across all payers is $3,403, yet individual plan maximums can be substantially higher depending on the specific contract.
To minimize out-of-pocket costs, patients should verify their specific plan's allowed amount before scheduling, as some commercial contracts may pay significantly less than the cash price. If your deductible has not been met, you may be responsible for the full negotiated rate, which could be higher than paying cash directly. Additionally, asking the facility about self-pay or prompt-pay discounts before check-in is crucial, as these upfront payment incentives can reduce the bill by 20% to 50% by bypassing administrative claim processing fees. Always request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included, and remember that the No Surprises Act protects you from balance billing for out-of-network providers at in-network facilities, though this does not apply to the patient's own in-network allowed amount.