CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Methodist Hospital Atascosa

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $828
Cash Discount Price: $14,859
vs. Medicare Baseline: 2.32x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Methodist Hospital Atascosa is $828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,859. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.32x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$14,859

Average discount available for prompt cash payment at this facility.

Insurance Median

$828

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: $14,859 (4169%)

Insurance Median: $828 (232%)

Cash: $14,859 (4169% of Medicare)

Ins. Median: $828 (232% 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 232% of the Medicare baseline (a markup of 132%). 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
Community First Health Plans	$312 - $4,012	88%
Molina	$312	88%
United	$312 - $6,687	88%
Aetna	$344 - $7,430	97%
Humana	$390	109%
Blue Cross Blue Shield	$615 - $4,383	173%
Superior Health	$743	208%
Imperial Insurance	$2,823	792%
Healthsmart Preferred Care	$8,173	2293%
Multiplan	$11,144 - $12,630	3127%
Triwest Health Alliance	$11,144	3127%

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 $14,859.
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 Methodist Hospital Atascosa 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.