CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lee's Summit Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $498
  • Cash Discount Price: $26,248
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lee's Summit Medical Center is $498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,248. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.04x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.
Cash / Self-Pay
$26,248

Average discount available for prompt cash payment at this facility.

Insurance Median
$498

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: $26,248 (10768%)
Insurance Median: $498 (204%)
Cash: $26,248 (10768% of Medicare)
Ins. Median: $498 (204% 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 204% of the Medicare baseline (a markup of 104%). 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.

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
United $131 - $11,811 54%
Healthyblue $134 55%
Medicaid / KanCare $135 55%
Aetna $136 - $13,386 56%
Amerigroup $136 56%
Unicare $136 56%
Home State Health Plan $138 57%
Multiplan $148 - $19,423 61%
Corvel Corporation $176 - $17,061 72%
Oha Network $183 - $13,124 75%
Humana $238 - $307 98%
Blue Cross Blue Shield $248 - $11,286 102%
Cigna $272 - $20,998 112%
Ambetter / Centene $4,882 2003%
Nhc Advantage $4,987 2046%
Wppa Providrs Care Network $5,250 2154%
Universal Healthcare $9,187 3769%
Coventry $10,552 4329%
Coventry Kc Mo $10,762 4415%
College Park Family Care Center $11,286 4630%
Focus Healthcare Mgmt, Inc $19,686 8076%
Cco, Inc. $22,311 9152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Se Blue Parkway, Lees Summit, MO 64063
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals