CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: The Children's Mercy Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $608
Cash Discount Price: $1,026
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at The Children's Mercy Hospital is $608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,026. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.49x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$1,026

Average discount available for prompt cash payment at this facility.

Insurance Median

$608

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: $1,026 (421%)

Insurance Median: $608 (249%)

Cash: $1,026 (421% of Medicare)

Ins. Median: $608 (249% 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 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.

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	$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%

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 $1,026.
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 The Children's Mercy Hospital 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.