CT scan, abdomen and pelvis (no contrast)
Facility: Kansas City Orthopaedic Institute
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $565
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.32x 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 232% of the Medicare baseline (a markup of 132%). 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 |
|---|---|---|
| Aetna | $217 | 89% |
| UnitedHealthcare | $217 | 89% |
| Cigna | $227 | 93% |
| Blue Cross Blue Shield | $565 | 232% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at the Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $217 to $565 depending on the insurance carrier. While the median negotiated rate of $565 is significantly higher than the Medicare benchmark of $243.77, it is important to note that cash-pay options are not listed for this specific service. Patients with high-deductible plans should verify if a self-pay or prompt-pay discount is available, as paying out-of-pocket can sometimes result in lower costs than insurance reimbursement if the negotiated rate exceeds the cash price. Always confirm the "self-pay" classification before scheduling to ensure you receive any applicable upfront fee reductions.
This procedure is billed under CPT code 74176, and while the data reflects specific payer contracts, the facility's pricing structure is evaluated against federal standards. The Medicare rate serves as the objective baseline for cost, and commercial negotiated rates often reflect administrative overhead and contract dynamics that can inflate the final price. If you receive a bill that appears higher than expected, you should request a detailed, itemized statement to review every line item for potential errors, unbundled codes, or services not rendered. Disputing charges in writing and comparing the final amount to the Medicare benchmark can help identify overcharges and ensure you are only paying for the care you received.