CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Houston Healthcare Southeast

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,564
  • Cash Discount Price: $32,618
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Houston Healthcare Southeast is $1,564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32,618. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.39x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$32,618

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,564

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: $32,618 (9151%)
Insurance Median: $1,564 (439%)
Cash: $32,618 (9151% of Medicare)
Ins. Median: $1,564 (439% 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 439% of the Medicare baseline (a markup of 339%). 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
Texas Health Network $306 86%
Amerigroup $312 88%
Texas Childrens Health Plans $312 - $5,741 88%
Community Health Choice Mcd $318 89%
United $324 - $14,678 91%
Molina Healthcare $343 96%
Aetna $344 - $1,301 97%
Humana $390 - $3,864 109%
Blue Cross Blue Shield $821 - $11,416 230%
Cigna $1,635 - $26,094 459%
Superior Health Plan $1,957 549%
Texas Workforce Commission $7,828 2196%
Christus (Usfhp) $13,047 3660%
Healthsmart Preferred Care $14,026 - $27,725 3935%
Fidelis Securecare Of Tx $14,678 4118%
Coventry National First Health $17,385 4878%
Physicians Cooperative Of Texas $17,940 5033%
Rockport Workers Comp $17,940 5033%
Beech Street $19,571 - $26,094 5491%
Independent Medical System $19,571 5491%
National Healthcare Solutions $19,571 5491%
Prime Health Services $19,571 5491%
Southwest Medical $19,571 5491%
Coastal Comp $21,201 5948%
Fiesta Mart, Inc $24,463 6863%
Physicians, Inc $27,725 7779%
Affiliated Ppo $29,356 8236%
Multiplan $29,356 8236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals