CT scan, abdomen and pelvis (no contrast)
Facility: Amberwell Atchison Association
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,170
- Cash Discount Price: $2,288
- vs. Medicare Baseline: 4.80x 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 480% of the Medicare baseline (a markup of 380%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $456 - $480 | 187% |
| Humana | $581 - $755 | 238% |
| UnitedHealthcare | $755 - $4,105 | 310% |
| Triwest - All Plans | $755 | 310% |
| Superior Select Mcr Adv - All Plans | $755 | 310% |
| Va Ccn - All Plans | $755 | 310% |
| Ambetter / Centene | $1,170 | 480% |
| Aetna | $1,258 | 516% |
| Cigna | $1,258 | 516% |
| Centrus Health Direct - All Plans | $1,716 | 704% |
| Oscar - All Plans | $1,716 | 704% |
| Multiplan - All Plans | $1,785 | 732% |
| Wppa Providrs Care - All Plans | $2,059 | 845% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Amberwell Atchison Association, the cash price is $2,288.00, which matches the facility's median negotiated rate of $1,170.00 and the state average of $2,288.00. While commercial payers like UnitedHealthcare and Aetna negotiate rates ranging from $755 to $1,258, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash rate directly more cost-effective than relying on insurance, as the negotiated rates can sometimes exceed the cash price. It is advisable to ask the facility about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill.
The Medicare benchmark for this procedure is $243.77, indicating that the cash price represents a substantial markup compared to the federal baseline. Although the facility's median paid amount is $755.00, this figure reflects specific payer contracts rather than a universal standard, and comparing it directly to the gross charge of $2,288.00 can be misleading. To ensure accuracy, patients should request an itemized billing audit to verify that all charges align with the CPT code and that no unbundled services or cancelled items are included. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed with the insurer rather than paid immediately.