CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,764
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.44x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at University of Texas M. D. Anderson Cancer Center is $3,764. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.44x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,764

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Insurance Median: $3,764 (1544%)
Ins. Median: $3,764 (1544% of 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 1544% of the Medicare baseline (a markup of 1444%). 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.

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
Texaschildrens $60 - $2,366 25%
Tricare $69 - $4,033 28%
Vacare $69 - $2,366 28%
Aetna $85 - $4,033 35%
Medicare (plans) $97 - $2,366 40%
Blue Cross Blue Shield $126 - $3,871 52%
Cigna $181 - $4,033 74%
Humana $482 - $4,140 198%
UnitedHealthcare $562 - $4,033 231%
Ontarioministriesofhealth $594 - $3,979 244%
Beijingst.Lucia $602 - $4,033 247%
Embassyofqatar $602 - $4,033 247%
Memorialhermannhealth $602 - $4,033 247%
Emergingtherapysolutions_Cancercare $642 - $4,302 263%
Interlink_Cancercare $642 - $4,302 263%
Saudiarmedforces $642 - $4,302 263%
Uae_Medical $642 - $4,302 263%
Uaepoliceattache $642 - $4,302 263%
Healthsmart $683 - $4,570 280%
Vantage $683 - $4,570 280%
Multiplan $723 - $4,624 297%
Phcs $723 - $4,624 297%
Emergingtherapysolutions $4,033 - $4,302 1654%
Interlink $4,033 - $4,570 1654%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL