CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical City North Hills

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $879
  • Cash Discount Price: $12,559
  • vs. Medicare Baseline: 3.61x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medical City North Hills is $879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,559. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.61x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$12,559

Average discount available for prompt cash payment at this facility.

Insurance Median
$879

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%)
Cash / Self-Pay: $12,559 (5152%)
Insurance Median: $879 (361%)
Cash: $12,559 (5152% of Medicare)
Ins. Median: $879 (361% 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 361% of the Medicare baseline (a markup of 261%). 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
Amerigroup $188 77%
Cook Childrens Health Plan $188 77%
Parkland Community Health Plan $188 77%
United $188 - $2,700 77%
Cigna $198 - $10,047 81%
Aetna $203 - $9,130 83%
Molina $207 - $211 85%
Humana $235 - $456 96%
Blue Cross Blue Shield $277 - $5,576 114%
Superior Health Plan $879 361%
Unicare $2,637 - $12,559 1082%
Healthcare Highways $4,245 1741%
City Of Mckinney $5,652 2319%
Fidelis Securecare $5,652 2319%
National Choicecare $6,280 2576%
Pc Texas Partners $6,907 2833%
Physicians Coop Of Tx $6,907 2833%
Rockport Health Group $6,907 2833%
Averde Health, Inc $7,284 2988%
Magellan Behavior Health $7,535 3091%
Coastal Comp Health Networks $8,791 3606%
Mega Life $8,791 3606%
Healthsmart Preferred Care $9,419 3864%
Lewisville Isd/Dls Consulting $9,419 3864%
Usa Managed Care $10,047 4122%
Usc Health Services $10,047 4122%
Galaxy Health Network $10,675 4379%
Independent Medical Systems $12,559 5152%
National Healthcare Solutions $12,559 5152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals