CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical City Weatherford

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $748
Cash Discount Price: $10,684
vs. Medicare Baseline: 2.10x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical City Weatherford is $748. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,684. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.10x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.

Cash / Self-Pay

$10,684

Average discount available for prompt cash payment at this facility.

Insurance Median

$748

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: $10,684 (2998%)

Insurance Median: $748 (210%)

Cash: $10,684 (2998% of Medicare)

Ins. Median: $748 (210% 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 210% of the Medicare baseline (a markup of 110%). 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
Amerigroup	$312	88%
Cook Childrens Health Plan	$312	88%
Parkland Community Health Plan	$312	88%
United	$312 - $2,575	88%
Cigna	$328 - $1,496	92%
Aetna	$337 - $6,293	95%
Humana	$390 - $886	109%
Blue Cross Blue Shield	$454 - $4,743	127%
Superior Health Plan	$748	210%
Healthsmart Preferred Care	$7,585	2128%
Parker County	$8,013	2248%
Independent Medical Systems	$10,684	2998%
National Healthcare Solutions	$10,684	2998%

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 $10,684.
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 City Weatherford 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.