CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: University of Missouri Health Care

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $973
Cash Discount Price: $1,357
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at University of Missouri Health Care is $973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,357. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.99x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$1,357

Average discount available for prompt cash payment at this facility.

Insurance Median

$973

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,357 (557%)

Insurance Median: $973 (399%)

Cash: $1,357 (557% of Medicare)

Ins. Median: $973 (399% of 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 399% of the Medicare baseline (a markup of 299%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$230 - $1,500	94%
Aetna	$234 - $1,742	96%
American Health Management	$234	96%
Blue Cross Blue Shield	$234 - $1,491	96%
Humana	$234	96%
Wellcare	$234	96%
Provider Partners Health Plan	$239	98%
Coventry Health Plan	$281	115%
Healthy Blue	$309	127%
United Community	$309	127%
Home State	$330	135%
Healthlink	$405 - $1,470	166%
Immergun	$792	325%
Medica With Mu Health	$998	409%
Coventry Health Plan National	$1,696	696%
Mercy	$1,696	696%
Cox Health Network	$1,810	743%
Cigna	$1,923	789%
Multiplan	$1,991	817%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,357.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Missouri Health Care is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.