CT scan, abdomen and pelvis (no contrast)
Facility: Clay County Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $183
- Cash Discount Price: $1,770
- vs. Medicare Baseline: 0.75x 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 |
|---|---|---|
| Health Partners - All Plans | $75 - $3,181 | 31% |
| Multiplan- All Plans | $81 - $3,181 | 33% |
| UnitedHealthcare | $107 - $3,181 | 44% |
| Wppa/Providrs Care- All Plans | $179 - $3,114 | 73% |
| Aetna | $179 - $3,114 | 73% |
Consumer Guidance & Cost Commentary
For the CPT code 74176, representing a CT scan of the abdomen and pelvis without contrast, Clay County Medical Center in Clay Center, KS, lists a cash price of $1,770. This amount matches the facility's cash median and is significantly higher than the state average, which is 80% of the Medicare rate of $243.77. While the facility is a Critical Access Hospital owned by the local government, patients should note that commercial insurance negotiated rates for this service range from $75 to $3,181 across five payers, with a median paid amount of $670. Because insurance negotiated rates often include administrative overhead and can exceed cash prices, patients with high-deductible plans may find paying the full cash price of $1,770 more cost-effective than relying on insurance, provided they have not yet met their deductible.
To minimize costs, consumers should proactively request "self-pay" or "prompt-pay" discounts before scheduling the procedure, as these upfront payment incentives can bypass the administrative costs associated with insurance billing. It is also important to verify the specific allowed amount for your plan, as in-network status does not guarantee the lowest possible price, and some facilities charge substantially more than others for the same service. Finally, if you receive a bill, always demand a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit dispute.