CT scan, abdomen and pelvis (no contrast)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $219
- Cash Discount Price: $1,026
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $214 | 88% |
| United Mine Workers Of America | $219 | 90% |
| Blue Cross Blue Shield | $219 - $462 | 90% |
| Aetna | $219 - $273 | 90% |
| Providrs Care Network | $219 | 90% |
| UnitedHealthcare | $219 - $265 | 90% |
| Lantern Specialty Care | $350 | 144% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Kansas Spine & Specialty Hospital in Wichita, the cash price is $1,026, which is significantly lower than the facility's negotiated rates with major insurers like UnitedHealthcare and Blue Cross Blue Shield. While commercial payers typically pay between $214 and $462 per plan, patients with high-deductible plans may find the cash price more affordable if their insurance allows a higher negotiated rate than the cash amount. It is important to note that this facility is an Acute Care Hospital in Kansas, and while specific county averages were not provided in this dataset, the cash rate remains a key benchmark for self-pay patients who wish to avoid insurance administrative fees and potential balance billing.
The Medicare benchmark for this service is $243.77, which serves as a scientifically validated baseline for evaluating the facility's pricing markup. Although the facility is owned by physicians, the cash rate of $1,026 represents a substantial premium over the Medicare amount, reflecting the costs of administrative overhead and provider expertise. Patients should be aware that hospitals often offer prompt-pay discounts for upfront payment, which can further reduce the final bill, and they should always request a self-pay classification before scheduling to ensure they are not inadvertently enrolled in insurance billing that could lead to unexpected charges.