CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Knapp Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $250
Cash Discount Price: $238
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Knapp Medical Center is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $238 (98%)

Insurance Median: $250 (103%)

Cash: $238 (98% of Medicare)

Ins. Median: $250 (103% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Corvel	$167	69%
Zelis Healthcare Fka Stratose	$179	73%
Superior Health Plan	$188 - $382	77%
UnitedHealthcare	$188 - $382	77%
Provider Network Of America	$191	78%
Molina	$199 - $405	82%
Provider Select	$209	86%
Three Rivers	$215	88%
Americas Choice Provider Network (Acpn)	$231	95%
Division Of Immigration Health	$234	96%
Blue Cross Blue Shield	$239 - $841	98%
Cigna	$239 - $374	98%
Coventry (First Health)	$239	98%
Medicare (plans)	$239	98%
Prime Health Services	$239	98%
Texas Bluebonnet Health Plan	$239 - $394	98%
Tricare	$239	98%
Veterans Evaluation Services	$239	98%
Wellmed Aarp Ma Fka Physicians Health Choice	$239	98%
Worker Comp	$239	98%
Multiplan	$250	103%
Provider Partners Health Plan	$250	103%
Imperial Insurance Companies	$253	104%
Texas Oncology Pa Op	$298	122%
Frontier Health (Fka Asserta Health)	$310	127%
Magic Valley Electric Cooperative	$310	127%
Employer Direct Healthcare	$334	137%
Corporate Remedies (Wc)	$358	147%
Medicaid / KanCare	$362 - $374	149%
Naphcare	$370	152%
Occunet	$417	171%
Baker Benefits Administrators	$477	196%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $238.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Knapp Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.