CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical City North Hills

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,057
  • Cash Discount Price: $15,107
  • vs. Medicare Baseline: 2.97x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical City North Hills is $1,057. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,107. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.97x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$15,107

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,057

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: $15,107 (4238%)
Insurance Median: $1,057 (297%)
Cash: $15,107 (4238% of Medicare)
Ins. Median: $1,057 (297% 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 297% of the Medicare baseline (a markup of 197%). 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 $312 88%
Cook Childrens Health Plan $312 88%
Parkland Community Health Plan $312 88%
United $312 - $3,248 88%
Cigna $328 - $12,085 92%
Aetna $337 - $10,982 95%
Molina $343 - $350 96%
Humana $390 - $886 109%
Blue Cross Blue Shield $454 - $6,707 127%
Superior Health Plan $1,057 297%
Unicare $3,172 - $15,107 890%
Healthcare Highways $5,106 1433%
City Of Mckinney $6,798 1907%
Fidelis Securecare $6,798 1907%
National Choicecare $7,553 2119%
Pc Texas Partners $8,309 2331%
Physicians Coop Of Tx $8,309 2331%
Rockport Health Group $8,309 2331%
Averde Health, Inc $8,762 2458%
Magellan Behavior Health $9,064 2543%
Coastal Comp Health Networks $10,575 2967%
Mega Life $10,575 2967%
Healthsmart Preferred Care $11,330 3179%
Lewisville Isd/Dls Consulting $11,330 3179%
Usa Managed Care $12,085 3391%
Usc Health Services $12,085 3391%
Galaxy Health Network $12,841 3603%
Independent Medical Systems $15,107 4238%
National Healthcare Solutions $15,107 4238%

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