CT scan, abdomen and pelvis (no contrast)
Facility: Salina Regional Health Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $1,622
- Cash Discount Price: $1,244
- vs. Medicare Baseline: 6.65x 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 665% of the Medicare baseline (a markup of 565%). 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 | $479 - $504 | 196% |
| Preferred Phsic | $510 - $1,622 | 209% |
| Cigna | $766 - $2,432 | 314% |
| Aetna | $766 - $2,432 | 314% |
| Providers Care (Wppa)-All Plans | $766 - $2,432 | 314% |
| Preferred Healthcare - All Other Plans | $2,189 | 898% |
| Multiplan (Mpi)-All Plans | $2,432 | 998% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Salina Regional Health Center in Salina, KS, the facility's cash median price is $1,244, which is lower than the negotiated rates paid by most major insurers. While commercial payers like Preferred Phsic and Cigna have negotiated ranges extending up to $2,432, paying cash directly can sometimes result in significant savings, particularly for patients with high-deductible plans who may not yet have met their out-of-pocket maximum. To maximize these savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative costs and inflated negotiated rates associated with insurance billing.
The facility's pricing is also contextualized by state and federal benchmarks; the Medicare amount for this procedure is $243.77, and the facility's negotiated rates average 6.7 times the Medicare rate, which aligns with the typical commercial markup range of 200% to 300% seen across the industry. Because over 80% of hospital bills contain errors, patients should request a full itemized CPT-coded statement rather than accepting a summary bill, ensuring that charges for services not rendered or unbundled components are identified and corrected. If a patient receives a balance bill from an out-of-network provider at this in-network facility, they are protected under the No Surprises Act and should dispute the bill with their insurer rather than paying immediately to avoid unexpected costs.