CT scan, abdomen and pelvis (no contrast)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $3,855
- Cash Discount Price: $5,140
- vs. Medicare Baseline: 15.81x 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 1581% of the Medicare baseline (a markup of 1481%). 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 | $3,084 | 1265% |
| Americas Choice Provider Network | $3,598 | 1476% |
| Velocity | $3,855 | 1581% |
| Quiktrip Corporation | $3,855 | 1581% |
| Usa Managed Care Organization | $3,855 | 1581% |
| Provider Network Of America | $3,855 | 1581% |
| Multiplan-Phcs | $4,112 | 1687% |
| Prime Health Services | $4,369 | 1792% |
| Medincrease | $4,626 | 1898% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis (no contrast) at the Rehabilitation Hospital Of Overland Park, the cash price is $5,140.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $243.77, reflecting a markup of 15.8% above the federal baseline. While the facility's negotiated rates for in-network payers range from $3,084 to $4,626, these amounts are still elevated compared to the cash price. Patients with high-deductible plans or those who have met their deductible may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount due to administrative overhead and contract structures.
To secure the lowest possible cost, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. It is crucial to request a waiver of insurance submission before check-in to prevent the hospital from submitting claims that would void any cash discount agreement. Additionally, patients should avoid accepting summary bills and instead demand a full itemized statement to identify any errors or unbundled codes, as over 80% of hospital bills contain inaccuracies. By comparing the facility's rates directly to the Medicare benchmark rather than the inflated chargemaster list, consumers can better understand the true cost of care and negotiate effectively.