CT scan, abdomen and pelvis (no contrast)
Facility: Menorah Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $508
- Cash Discount Price: $12,400
- vs. Medicare Baseline: 2.08x 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 208% of the Medicare baseline (a markup of 108%). 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 |
|---|---|---|
| United | $131 - $5,580 | 54% |
| Amerigroup | $131 | 54% |
| Healthyblue | $134 | 55% |
| Medicaid / KanCare | $135 | 55% |
| Aetna | $136 - $6,324 | 56% |
| Unicare | $136 | 56% |
| Multiplan | $148 - $9,176 | 61% |
| Corvel Corporation | $176 - $8,060 | 72% |
| Oha Network | $183 - $6,200 | 75% |
| Home State Health Plan | $216 | 89% |
| Humana | $238 - $307 | 98% |
| Blue Cross Blue Shield | $248 - $5,580 | 102% |
| Cigna | $272 - $9,920 | 112% |
| Ambetter / Centene | $2,306 | 946% |
| Nhc Advantage | $2,356 | 966% |
| Wppa Providrs Care Network | $2,480 | 1017% |
| Universal Healthcare | $4,340 | 1780% |
| Coventry | $4,985 | 2045% |
| Coventry Kc Mo | $5,084 | 2086% |
| College Park Family Care Center | $5,332 | 2187% |
| Cco, Inc. | $9,300 | 3815% |
| Focus Healthcare Mgmt, Inc | $9,300 | 3815% |
| Triwest Health Alliance | $9,300 | 3815% |
Consumer Guidance & Cost Commentary
For patients paying cash directly, the most important fact to know is that the cash price for this CT scan is $12,400. While commercial insurance plans often negotiate higher rates due to administrative overhead and contract structures, self-pay patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can significantly reduce the final cost. It is also worth noting that if a patient has a high-deductible plan that has not yet been met, paying the cash price may sometimes be cheaper than the insurance negotiated rate, which can be inflated by up to 200% to 300% of the Medicare benchmark.
In the broader rate context, this procedure at Menorah Medical Center in Overland Park, KS, is priced at exactly 2.1 times the Medicare amount of $243.77. The facility is a Proprietary Acute Care Hospital with a rating of 3 out of 5. While the cash price of $12,400 is the baseline, the data shows that the lowest negotiated rate among the 23 payers is $131 (Amerigroup), and the highest is $9,920 (Cigna). Patients should be aware that the "gross" charge listed for this service is also $12,400, which matches the cash median, but the actual amount an insurer pays varies widely depending on the specific plan, ranging from $131 to $9,920.