CT scan, abdomen and pelvis (no contrast)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $228
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Humana | $224 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Va | $224 | 92% |
| Vc Hope | $224 | 92% |
| UnitedHealthcare | $228 - $626 | 94% |
| Blue Cross Blue Shield | $228 | 94% |
| Aetna | $264 - $660 | 108% |
| Smarthealth | $313 | 128% |
| Medicaid / KanCare | $380 | 156% |
| Cigna | $490 | 201% |
Consumer Guidance & Cost Commentary
For this CT scan of the abdomen and pelvis at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $224 to $660 depending on your specific insurance plan. While many payers, including Humana, Medicare, and VA, have a fixed rate of $224, others like UnitedHealthcare and Aetna have higher ranges, with Aetna's maximum reaching $660. The median negotiated rate across all payers is $228, which is significantly lower than the facility's Medicare benchmark of $243.77. This indicates that for most insured patients, the facility is charging a rate close to or below the federal government's calculated cost baseline, rather than applying a high markup typical of commercial billing.
Patients should be aware that cash-pay options may offer savings if your insurance plan has a high deductible or if the negotiated rate exceeds the cash price, though cash rates are not listed for this service. To minimize costs, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency care and non-emergency services, so you should dispute any unexpected charges rather than paying them immediately. Always request a detailed, itemized bill to verify that no services were unbundled or double-charged before finalizing payment.