CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

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

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,610
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.93x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University of Texas M. D. Anderson Cancer Center is $4,610. 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 $356.43, this hospital’s rate is 12.93x 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
$4,610

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%)
Insurance Median: $4,610 (1293%)
Ins. Median: $4,610 (1293% 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 1293% of the Medicare baseline (a markup of 1193%). 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.

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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 $63 - $2,898 18%
Tricare $73 - $4,940 20%
Vacare $73 - $2,898 20%
Aetna $89 - $4,940 25%
Medicare (plans) $103 - $2,898 29%
Blue Cross Blue Shield $131 - $4,742 37%
Cigna $190 - $4,940 53%
Humana $504 - $5,071 141%
UnitedHealthcare $588 - $4,940 165%
Ontarioministriesofhealth $622 - $4,874 175%
Beijingst.Lucia $630 - $4,940 177%
Embassyofqatar $630 - $4,940 177%
Memorialhermannhealth $630 - $4,940 177%
Emergingtherapysolutions_Cancercare $672 - $5,269 189%
Interlink_Cancercare $672 - $5,269 189%
Saudiarmedforces $672 - $5,269 189%
Uae_Medical $672 - $5,269 189%
Uaepoliceattache $672 - $5,269 189%
Healthsmart $714 - $5,598 200%
Vantage $714 - $5,598 200%
Multiplan $756 - $5,664 212%
Phcs $756 - $5,664 212%
Emergingtherapysolutions $4,940 - $5,269 1386%
Interlink $4,940 - $5,598 1386%

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