CT scan, abdomen and pelvis (no contrast)
Facility: Kansas Medical Center Llc
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $220
- Cash Discount Price: $1,080
- 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 |
|---|---|---|
| Medicaid / KanCare | $84 | 34% |
| Tricare | $198 | 81% |
| Indian Health | $198 | 81% |
| Medadv_Wellcare | $220 | 90% |
| Ambetter / Centene | $220 | 90% |
| Humana | $220 | 90% |
| Blue Cross Blue Shield | $220 - $437 | 90% |
| Three_Rivers | $440 | 180% |
| Aetna | $450 | 185% |
| Wppa | $525 | 215% |
| United | $580 | 238% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Kansas Medical Center Llc in Andover, the facility's cash median price is $1,080, which is lower than the negotiated rates paid by most major insurers. While the facility's cash rate is 44% below the gross charge of $1,800, commercial payers like Blue Cross Blue Shield and United are negotiating rates ranging from $220 to $580, which are significantly higher than the cash option. This pricing structure highlights a common billing dynamic where paying out-of-pocket upfront can result in substantial savings compared to the amounts insurance companies agree to pay, particularly for patients with high-deductible plans who may not yet have met their coverage thresholds.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to verify the network status of all ancillary services, such as specific lab tests or radiology components, before scheduling. To ensure you receive the most accurate and transparent pricing, request a full itemized bill that lists every specific CPT code and unit cost rather than accepting a summary invoice that may obscure unbundled charges or services not rendered. Additionally, since the facility offers a cash median rate of $1,080, you should explicitly ask about prompt-pay discounts or self-pay rates before check-in to avoid being automatically enrolled in an insurance billing cycle that could result in higher costs.