CT scan, abdomen and pelvis (no contrast)
Facility: Kansas Surgery & Recovery Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $223
- Cash Discount Price: $782
- vs. Medicare Baseline: 0.91x 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 | $207 - $238 | 85% |
| Blue Cross Blue Shield | $207 - $458 | 85% |
| UnitedHealthcare | $223 - $534 | 91% |
| Cigna | $549 | 225% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $782.00, which is slightly lower than the facility's gross charge of $786.00. While the facility is in-network for four major payers, their negotiated rates range from $207 to $549, meaning patients with high-deductible plans might save money by paying the cash price directly, especially if their insurance allowed amount exceeds this figure. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the cash price, so patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling to avoid being billed the full insurance negotiated rate.
The facility's pricing is benchmarked against Medicare, which sets a baseline of $243.77 for this procedure; the cash price represents approximately 322% of the Medicare rate, reflecting the typical markup found in commercial billing. Although specific county or state average data is not provided in this report, the wide variance in payer negotiated rates—from as low as $207 for Aetna to $549 for Cigna—highlights the importance of verifying your specific plan's allowed amount. To ensure you are not facing unexpected balance billing, patients should review their itemized bill for any unbundled codes or services not rendered, and if out-of-network charges appear, they may be eligible for protections under the No Surprises Act.