CT scan, abdomen and pelvis (no contrast)
Facility: Mercy Hospital Columbus
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,883
- Cash Discount Price: $2,581
- vs. Medicare Baseline: 11.83x 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 1183% of the Medicare baseline (a markup of 1083%). 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 |
|---|---|---|
| Centivo Contracted [320505] | $40 | 16% |
| Humana | $89 - $3,772 | 37% |
| Medicaid / KanCare | $89 - $2,883 | 37% |
| UnitedHealthcare | $206 - $3,296 | 85% |
| Blue Cross Blue Shield | $206 - $2,883 | 85% |
| Medicare (plans) | $226 - $2,998 | 93% |
| Insurance System Inc Contracted [320465] | $1,708 | 701% |
| Health Systems Inc Contracted [320174] | $1,708 | 701% |
| Administrative Payor Contracted [320005] | $1,787 | 733% |
| Cross Timbers Hospice [20098] | $2,883 | 1183% |
| Qual Choice Contracted [320325] | $2,883 | 1183% |
| Indian Health Service Contracted [320198] | $2,883 | 1183% |
| Novasys Contracted [320285] | $2,883 | 1183% |
| Elara Caring Aspire Hospice [20433] | $2,883 | 1183% |
| Home State Health Plan Contracted [320187] | $2,883 | 1183% |
| Cigna | $2,883 | 1183% |
| Ambetter / Centene | $2,883 | 1183% |
| Dept Of Veteran Affairs Contracted [320106] | $2,883 | 1183% |
| Mercy Hospice Okc [20252] | $2,883 | 1183% |
| Centurion Of Missouri [20459] | $2,883 | 1183% |
| Globalhealth Contracted [320145] | $2,883 | 1183% |
| Halo Hcr Inc Hospice Contracted [320432] | $2,883 | 1183% |
| Provider Partners Health Plans Contracted [320450] | $2,883 | 1183% |
| Medical Associates Health Contracted [320444] | $2,883 | 1183% |
| Mercy Mgd Behavioral Health Contracted [320259] | $2,883 | 1183% |
| Kindful Hospice [20434] | $2,883 | 1183% |
| Cherokee Nation Health Serv Contracted [320066] | $2,883 | 1183% |
| Kindful Hospice Contracted [320434] | $2,883 | 1183% |
| Pace Of The Ozarks Contracted [320518] | $2,883 | 1183% |
| Halo Hcr Inc Hospice [20432] | $2,883 | 1183% |
| Aetna | $2,883 - $3,574 | 1183% |
| Tricare | $2,892 | 1186% |
| Healthscope Contracted [320182] | $3,062 | 1256% |
| Workers Comp [20426] | $3,177 - $3,375 | 1303% |
| United Medical Resources Contracted [320454] | $3,296 - $3,772 | 1352% |
| Medica Contracted [320239] | $3,558 | 1460% |
| Federal Medical Center Contracted [320127] | $3,574 | 1466% |
| Usa Managed Care Org Contracted [320429] | $3,574 | 1466% |
| American Healthcare Alliance Contracted [320020] | $3,574 | 1466% |
| Healthlink Contracted [320179] | $3,574 - $3,772 | 1466% |
| Preferred Health Plan Contracted [320522] | $3,574 | 1466% |
| Mercy Benefit Admin Contracted [320251] | $3,574 - $3,772 | 1466% |
| First Health Contracted [320128] | $3,574 | 1466% |
| Reflect Health Contracted [320492] | $3,772 | 1547% |
| Auxiant Contracted [320462] | $3,772 | 1547% |
| Private Health Care Systems Contracted [320320] | $3,772 | 1547% |
| Ppo Plus Contracted [320310] | $3,772 | 1547% |
| Point C Contracted [320238] | $3,772 | 1547% |
| Yuzu Health Contracted [320521] | $3,772 | 1547% |
| Edison Health Solutions Contracted [320502] | $3,772 | 1547% |
| Show-Me Health Administrators Contracted [320483] | $3,772 | 1547% |
| Benefit Management Contracted [320052] | $3,772 | 1547% |
| 90 Degree Benefits Contracted [320436] | $3,772 | 1547% |
| Aither Health Contracted [320449] | $3,772 | 1547% |
| Ebms Contracted [320493] | $3,772 | 1547% |
| Imagine 360 Contracted [320494] | $3,772 | 1547% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Mercy Hospital Columbus, the cash price is $2,581, which is lower than the facility's gross charge of $3,971. While the facility's negotiated rates with major payers like Humana and Medicaid range from $89 to $3,772, the cash price remains the most predictable option for patients without insurance. It is important to note that cash payments can sometimes be cheaper than insurance reimbursement if your plan has a high deductible or if the negotiated rate exceeds the cash price. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final cost by bypassing administrative billing cycles.
The facility's Medicare benchmarking rate is $243.77, which serves as the objective baseline for evaluating pricing fairness. Commercial negotiated rates for this service average between $2,883 and $3,772 across various payers, reflecting the administrative costs and contract dynamics inherent in insurance billing. Since Medicare rates represent the true cost of care delivery, comparing your specific insurance allowed amount to this benchmark helps identify if the facility is charging a standard markup or an inflated rate. If you receive a bill that appears higher than expected, you should request a detailed itemized statement to verify that all charges are accurate and that no services were bundled incorrectly, as over 80% of hospital bills contain errors that can be corrected through a formal audit.