CT scan, abdomen and pelvis (no contrast)
Facility: Saint Luke'S South Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,009
- Cash Discount Price: $6,001
- vs. Medicare Baseline: 4.14x 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 414% of the Medicare baseline (a markup of 314%). 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 |
|---|---|---|
| Humana | $111 - $181 | 46% |
| Medicaid / KanCare | $131 - $309 | 54% |
| Aetna | $141 - $9,502 | 58% |
| UnitedHealthcare | $180 - $1,009 | 74% |
| Blue Cross Blue Shield | $185 - $7,512 | 76% |
| Transplants-Case Rates [5750] | $195 - $10,002 | 80% |
| Cigna | $263 - $7,592 | 108% |
| Commercial-Contracted [8000] | $959 - $8,092 | 393% |
| First Health [5512] | $5,929 | 2432% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Saint Luke's South Hospital in Overland Park, Kansas, the cash price is $6,001, which is significantly lower than the facility's gross charge of $10,002. While many commercial payers have negotiated rates that exceed this cash amount—such as Aetna's range of $141 to $9,502 and Blue Cross Blue Shield's range of $185 to $7,512—patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allows. The facility offers a prompt-pay discount for upfront payment, which can reduce the bill by 20% to 50%, bypassing the administrative costs and delays associated with insurance claims processing. To secure this discount, patients should request self-pay classification and a prompt-pay rate before check-in and sign a waiver preventing automatic claims submission to ensure the cash agreement stands.
The facility's cash rate of $6,001 is notably higher than the state of Kansas average for this procedure, though it remains below the gross charges listed for most major payers. Medicare reimbursement for this service is set at $243.77, serving as a benchmark to evaluate pricing; commercial negotiated rates often range from 200% to 300% of this amount, whereas fair pricing is typically defined as 120% to 150%. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, but they should still verify their specific plan details and deductible status before scheduling. If a balance