CT scan, abdomen and pelvis (no contrast)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $224
- Cash Discount Price: $1,172
- vs. Medicare Baseline: 0.92x 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.
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 | $61 - $626 | 25% |
| Medicaid / KanCare | $61 - $206 | 25% |
| Aetna | $63 - $206 | 26% |
| Providrs Care | $111 - $251 | 46% |
| Va | $224 | 92% |
| Humana | $224 - $226 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Tricare | $306 | 126% |
| Smarthealth | $313 | 128% |
| Ambetter / Centene | $380 | 156% |
| Blue Cross Blue Shield | $520 - $548 | 213% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis without contrast at Ascension Via Christi Hospital Manhattan, the cash median price is $1,172.00, which is significantly lower than the facility's gross charge of $2,931.00. While the hospital's negotiated rates for in-network payers like UnitedHealthcare and Medicaid/KanCare range from $61 to $626, these amounts are still higher than the cash price. This pricing structure suggests that patients with high-deductible plans or those without insurance may save money by paying the cash rate directly, provided they secure a prompt-pay discount. To maximize savings, patients should explicitly request self-pay or prompt-pay rates before scheduling, as billing systems often default to insurance processing once a card is on file, potentially voiding any upfront cash discounts.
The facility's pricing is also evaluated against federal benchmarks, where the Medicare amount for this procedure is $243.77. The cash rate of $1,172.00 represents a markup relative to this federal baseline, though it remains substantially lower than the gross charges. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details to avoid unexpected costs. Given that over 80% of hospital bills contain errors, consumers are encouraged to request a full itemized CPT-coded bill before paying, ensuring that all charges are accurate and that no unbundled codes or services not rendered have been included in the final invoice.