CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Christus Santa Rosa Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $464
  • Cash Discount Price: $1,914
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Christus Santa Rosa Medical Center is $464. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,914. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.30x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$1,914

Average discount available for prompt cash payment at this facility.

Insurance Median
$464

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: $1,914 (537%)
Insurance Median: $464 (130%)
Cash: $1,914 (537% of Medicare)
Ins. Median: $464 (130% 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
Texas Healthspring $168 47%
UnitedHealthcare $253 - $855 71%
Aetna $335 - $912 94%
Allwell $335 94%
Blue Cross Blue Shield $335 - $1,558 94%
Christus Health $335 - $469 94%
Coventry $335 94%
Humana $335 - $779 94%
Molina $335 - $464 94%
Superior $335 - $464 94%
Triwest $335 94%
Wellcare $335 94%
Provider Partners Health Plan $345 97%
Texas Independence Health Plan $345 97%
Shared Health Insurance Company $352 99%
Amerigroup $362 - $696 102%
Devoted Health Plan $362 102%
Imperial Health Plan $369 104%
Medicare (plans) $369 104%
Procare Advantage $369 104%
Employer Direct $402 113%
Gilsbar Inc. $436 122%
Community First $464 - $696 130%
Driscoll Children'S Health Plan $464 130%
El Paso First $464 130%
First Care $464 130%
Texas Childrens Health Plan $487 137%
Naphcare Inc. $671 188%
Community First Health Plan $673 189%
Us Imaging Network $915 257%
Healthcare Highways $988 277%
Cigna $1,028 - $1,306 288%
Five Point Credit Union $1,500 421%
Healthsmart $1,609 - $4,641 451%
Christian Brothers Services $3,191 895%
First Health $3,771 1058%
Multiplan $3,771 1058%
Phcs $3,771 1058%
Medicus Internatiaonal $4,351 1221%
Beech Street $4,641 1302%
Health Management Network $4,641 1302%
Provider Select $4,641 1302%
National Choicecare $5,511 1546%

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