CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: De Tar Hospital Navarro

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $438
  • Cash Discount Price: $4,179
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at De Tar Hospital Navarro is $438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,179. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.23x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$4,179

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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: $4,179 (1172%)
Insurance Median: $438 (123%)
Cash: $4,179 (1172% of Medicare)
Ins. Median: $438 (123% 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.

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
Medicaid / KanCare $312 - $1,026 88%
Scott & White $312 88%
UnitedHealthcare $312 - $4,671 88%
Blue Cross Blue Shield $318 - $3,426 89%
Superior $328 - $737 92%
Tricare $333 - $350 93%
Veterans Eval Services $337 95%
Humana $345 97%
Medicare (plans) $345 97%
Department Of Veterans Affairs $350 98%
Node Hospice Non Par Agree $350 98%
Node Triwest $350 98%
Node Va $350 98%
Aetna $355 - $9,342 100%
American Health Mcr Adv $359 101%
Provider Partners Health Plan $361 101%
Node Amerigroup Mcr Adv $362 102%
Node Procare Mcr Adv $362 102%
Industrial Rehab $403 113%
Node Us Dept Of Labor $438 123%
Node Brookshire Brothers $613 172%
Node Brookshire Brothers Work Comp Tx $652 183%
Work Comp $701 197%
Amerigroup $737 207%
Elap $771 216%
Dars $3,770 1058%
Tx Workforce Commission $3,770 1058%
Cigna $3,901 - $7,048 1094%
First Health $5,056 1419%
Healthsmart $9,014 - $11,473 2529%
Multiplan $10,654 - $13,112 2989%
Medcorp Southwest Inc $11,473 3219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals