CT scan, abdomen and pelvis (no contrast)
Facility: Kansas Heart Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $3,330
- Cash Discount Price: $2,331
- vs. Medicare Baseline: 13.66x 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 1366% of the Medicare baseline (a markup of 1266%). 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 |
|---|---|---|
| Tricare | $198 | 81% |
| Humana | $220 | 90% |
| UnitedHealthcare | $220 - $3,700 | 90% |
| Medicaid / KanCare | $220 - $3,700 | 90% |
| Celtic Mcr Adv | $220 | 90% |
| Blue Cross Blue Shield | $462 - $3,700 | 190% |
| Wppa - All Plans | $541 | 222% |
| Multiplan - All Plans | $3,330 | 1366% |
| Aetna | $3,608 - $3,700 | 1480% |
| Celtic Mcaid - All Other Plans | $3,700 | 1518% |
| Soonerselect Mcaid - All Plans | $3,700 | 1518% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Kansas Heart Hospital in Wichita, KS, the facility's cash median price is $2,331, which is lower than the state average of $3,330. While many commercial payers negotiate rates that exceed this cash price—ranging from $220 to $3,700 depending on the plan—patients with high-deductible policies might find paying cash directly more cost-effective if their insurance allowed amount is higher than the cash rate. It is important to verify the specific allowed amount for your plan before scheduling, as in-network rates vary significantly and do not always represent the lowest possible cost. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can offer further reductions for upfront payment, bypassing the administrative overhead and claim processing costs that often inflate insurance negotiated rates.
The facility's negotiated rates are benchmarked against Medicare, which sets a fixed reimbursement rate of $243.77 for this procedure. The median negotiated rate of $3,330 represents a 13.7% increase over the Medicare amount, illustrating the typical markup found in commercial pricing structures. Because commercial contracts often include administrative fees and multi-layered billing dynamics, the actual cost to the patient can vary widely based on their specific insurance carrier and plan tier. To ensure transparency, consumers are encouraged to request an itemized bill that details every CPT code and charge, as summary bills may obscure individual line items or unbundled services. Disputing errors in writing and comparing your final allowed amount to the Medicare benchmark can help identify potential overcharges or billing mistakes.