CT scan, abdomen and pelvis (no contrast)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $226
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Vc Hope | $224 | 92% |
| Via Christi Research | $224 | 92% |
| Humana | $224 | 92% |
| Va | $224 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Saint Lukes Health Systems | $224 | 92% |
| UnitedHealthcare | $228 - $626 | 94% |
| Blue Cross Blue Shield | $228 | 94% |
| Corizon | $279 | 114% |
| Smarthealth | $313 | 128% |
| Medicaid / KanCare | $380 | 156% |
| Aetna | $435 | 178% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $224 to $626 depending on your insurance plan. While some payers like Medicare and Medicaid have fixed rates around $224–$279, others such as UnitedHealthcare and Aetna have higher negotiated ceilings of $626 and $435, respectively. It is important to note that these negotiated rates often exceed the actual cash price, which can be a significant factor for patients with high-deductible plans. In such cases, paying cash directly may result in lower out-of-pocket costs compared to the insurance negotiated amount, provided you qualify for the facility's self-pay or prompt-pay discounts.
The facility's pricing is benchmarked against the national average, with a ratio of 0.9 compared to Medicare rates, indicating a pricing structure that is slightly below the federal baseline. However, the specific negotiated rates for commercial payers vary widely, with the lowest being $224 and the highest reaching $626. To ensure you are not overpaying, it is recommended to verify your specific plan's allowed amount before scheduling the procedure. Additionally, if you choose to pay out-of-pocket, you should explicitly request a self-pay classification and ask about prompt-pay discounts, which can reduce the total bill by 20% to 50% when paid in full upfront. Always review your itemized bill for any errors or unbundled codes before finalizing payment.