CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Christus Santa Rosa Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $294
  • Cash Discount Price: $1,797
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Christus Santa Rosa Medical Center is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,797. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.21x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$1,797

Average discount available for prompt cash payment at this facility.

Insurance Median
$294

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: $1,797 (737%)
Insurance Median: $294 (121%)
Cash: $1,797 (737% of Medicare)
Ins. Median: $294 (121% 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.

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
Texas Healthspring $113 46%
UnitedHealthcare $190 - $855 78%
Aetna $227 - $912 93%
Allwell $227 93%
Blue Cross Blue Shield $227 - $951 93%
Christus Health $227 - $318 93%
Coventry $227 93%
Humana $227 - $779 93%
Molina $227 - $294 93%
Superior $227 - $294 93%
Triwest $227 93%
Wellcare $227 93%
Provider Partners Health Plan $234 96%
Texas Independence Health Plan $234 96%
Shared Health Insurance Company $238 98%
Amerigroup $245 - $654 101%
Devoted Health Plan $245 101%
Imperial Health Plan $250 103%
Medicare (plans) $250 103%
Procare Advantage $250 103%
Employer Direct $272 112%
Community First $294 - $654 121%
Driscoll Children'S Health Plan $294 121%
El Paso First $294 121%
First Care $294 121%
Gilsbar Inc. $295 121%
Texas Childrens Health Plan $309 127%
Naphcare Inc. $454 186%
Community First Health Plan $673 276%
Us Imaging Network $915 375%
Healthcare Highways $988 405%
Cigna $1,028 - $1,306 422%
Five Point Credit Union $1,500 615%
Healthsmart $1,609 - $4,357 660%
Christian Brothers Services $2,995 1229%
First Health $3,540 1452%
Multiplan $3,540 1452%
Phcs $3,540 1452%
Medicus Internatiaonal $4,084 1675%
Beech Street $4,357 1787%
Health Management Network $4,357 1787%
Provider Select $4,357 1787%
National Choicecare $5,174 2122%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals