CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University Medical Center of El Paso

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $719
Cash Discount Price: $1,025
vs. Medicare Baseline: 2.02x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University Medical Center of El Paso is $719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,025. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.02x the Medicare baseline. Located in 4815 Alameda Ave, El Paso, TX.

Cash / Self-Pay

$1,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$719

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $1,025 (288%)

Insurance Median: $719 (202%)

Cash: $1,025 (288% of Medicare)

Ins. Median: $719 (202% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 202% of the Medicare baseline (a markup of 102%). 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
Aetna	$248 - $1,345	70%
Healthnet	$288	81%
Amerigroup Tx	$312 - $351	88%
Medicaid / KanCare	$312	88%
Molina Tx	$312	88%
Superior Tx	$325	91%
Cigna	$351 - $909	98%
El Paso Health Dual	$351	98%
Medicare (plans)	$351	98%
Molina	$351	98%
Wellcare	$351	98%
Wellmed	$351	98%
Humana	$641	180%
El Paso Health	$719 - $3,894	202%
UnitedHealthcare	$978	274%
Blue Cross Blue Shield	$1,168 - $1,520	328%

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 $1,025.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Medical Center of El Paso is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.