CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical Center Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $850
Cash Discount Price: $3,112
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical Center Hospital is $850. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,112. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.38x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$3,112

Average discount available for prompt cash payment at this facility.

Insurance Median

$850

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: $3,112 (873%)

Insurance Median: $850 (238%)

Cash: $3,112 (873% of Medicare)

Ins. Median: $850 (238% 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 238% of the Medicare baseline (a markup of 138%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 Wc	$254 - $296	71%
Ambetter / Centene	$260 - $362	73%
Amerigroup	$260	73%
Blue Cross Blue Shield	$260 - $2,091	73%
Community Health Choice	$260	73%
First Care Health Plan	$260	73%
Superior Health Plan	$260	73%
UnitedHealthcare	$260 - $4,862	73%
Medicaid / KanCare	$312 - $328	88%
Superior Chips	$312	88%
Aetna	$335 - $3,209	94%
Humana	$335	94%
Novitas Solutions	$345	97%
Triwest Va Ccn	$345	97%
Care Improvement Plus	$350	98%
Wellcare By Allwell	$362	102%
Group Resources	$421	118%
Caprock	$648 - $2,334	182%
Geha	$700	196%
Workers Comp	$701	197%
Healthsmart Preferred Care	$709 - $2,917	199%
Firstcare	$850 - $3,403	238%
Cigna	$1,082 - $2,460	304%
Health Select	$1,333 - $2,091	374%
90 Degree Benefits	$2,334	655%
State Comptroller	$2,431	682%
Texas Mutual Wc	$3,209	900%

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 $3,112.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical Center Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.