CT scan, abdomen and pelvis (no contrast)
Facility: Regional Medical Center
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $870
- Cash Discount Price: $2,435
- vs. Medicare Baseline: 3.57x 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 357% of the Medicare baseline (a markup of 257%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 357% |
Consumer Guidance & Cost Commentary
If you are paying cash for this CT scan procedure, you should know that the cash price of $2,435 is significantly lower than the facility's negotiated rate of $870, which is the amount your insurance, Medical Associates Health Plan - Tri, would pay. Because the negotiated rate exceeds the cash price, self-pay patients with high-deductible plans may save money by paying directly rather than using insurance, provided they have the funds available. It is also important to verify if the facility offers additional "self-pay" or "prompt-pay" discounts, as hospitals often provide fee reductions for upfront payments to bypass administrative billing cycles.
This service, a CT scan of the abdomen and pelvis with no contrast, is performed at Regional Medical Center in Manchester, Iowa, a Critical Access Hospital with a government-local ownership structure. The facility's cash rate of $2,435 is higher than the state average of $1,154 and the county average of $870, while the gross chargemaster rate listed is $3,044. You should be aware that Medicare covers this procedure at a rate of $243.77, which is substantially lower than both the cash and insurance rates. For transparency, the commercial rate is 3.6 times the Medicare amount, illustrating the significant markup between federal reimbursement and commercial pricing.