CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $375
  • Cash Discount Price: $1,973
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $375. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,973. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$1,973

Average discount available for prompt cash payment at this facility.

Insurance Median
$375

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: $1,973 (554%)
Insurance Median: $375 (105%)
Cash: $1,973 (554% of Medicare)
Ins. Median: $375 (105% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Molina $68 - $375 19%
Parkland $68 - $318 19%
UnitedHealthcare $68 - $2,849 19%
Wellpoint $68 - $375 19%
Aetna $78 - $1,241 22%
Superior $80 - $375 22%
Procare $84 - $357 24%
Ambetter / Centene $85 - $313 24%
Blue Cross Blue Shield $88 - $4,337 25%
Humana $88 - $371 25%
United Options Nexus $123 - $1,196 35%
Coventry $131 - $2,758 37%
Healthfirst $164 - $2,218 46%
Phcs $186 - $3,200 52%
Quiktrip $189 - $2,486 53%
Rockwall County $190 - $2,762 53%
Maestro Health/Fort Worth Firefighters $208 - $2,110 58%
Cigna $241 - $2,906 68%
Galaxy Health Network $245 - $3,472 69%
Multiplan $245 - $3,433 69%
Healthsmart $257 - $3,275 72%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals