CT scan, abdomen and pelvis (no contrast)
Facility: Children'S Mercy South
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $608
- Cash Discount Price: $1,026
- vs. Medicare Baseline: 2.49x 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 249% of the Medicare baseline (a markup of 149%). 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 |
|---|---|---|
| UnitedHealthcare | $71 - $2,707 | 29% |
| Healthy Blue | $76 - $608 | 31% |
| Medicaid / KanCare | $77 - $153 | 32% |
| Cigna | $80 - $2,800 | 33% |
| Home State Health | $81 - $535 | 33% |
| Wppa Providrs Care | $105 - $2,619 | 43% |
| Healthlink | $106 - $3,546 | 43% |
| Health Midwest Comprehensive Care | $112 - $2,623 | 46% |
| American Healthcare Alliance | $116 - $3,425 | 48% |
| Medica | $143 - $2,349 | 59% |
| Blue Cross Blue Shield | $144 - $2,981 | 59% |
| Wellfit/Centrus | $154 - $2,619 | 63% |
| Centivo | $159 - $2,619 | 65% |
| Humana | $161 - $2,679 | 66% |
| Nebraska Furniture Mart | $163 - $2,619 | 67% |
| Orscheln | $163 - $2,619 | 67% |
| Mercy Health | $180 - $3,022 | 74% |
| Coxhealth Network | $182 - $2,981 | 75% |
| National Preferred Provider Network | $216 - $3,626 | 89% |
| Aetna | $2,417 - $2,740 | 992% |
| Quiktrip | $2,623 | 1076% |
| Coventry Health Care Of Kansas | $2,981 | 1223% |
| Multiplan | $3,062 | 1256% |
Consumer Guidance & Cost Commentary
For the CT scan of the abdomen and pelvis without contrast at Children's Mercy South in Overland Park, KS, the facility's cash price is $1,026.00, which is significantly lower than the state average of $2,138.00. While many insurance plans negotiate rates that exceed this cash price—such as UnitedHealthcare's range of $71 to $2,707 and Blue Cross Blue Shield's range of $144 to $2,981—patients with high-deductible plans may find paying the cash price upfront more cost-effective. The facility offers a voluntary non-profit status and is located in zip code 66211, but patients should verify their specific plan's negotiated rates before scheduling, as some in-network rates can be substantially higher than the cash option.
To avoid unexpected costs, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before check-in, which can reduce the bill by 20% to 50% if paid in full. If a patient receives a bill from an out-of-network provider, they may be subject to balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects against this for emergency care and non-emergency services at in-network facilities. Furthermore, patients should request a detailed, itemized bill rather than a summary invoice to identify potential errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies that can be corrected through a formal written audit dispute.