CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Faith Community Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$476
about 1.3× the $356 Medicare rate · typically $333–$903
modeled estimate · not a bill or quote
What this hospital charges insurers
$350
Below the fair price — a good deal
about $126 under the fair price · 1.0× Medicare
Medicare pays $356 Fair price $476 This hospital $350 Cash price $1,824 Hospital's list price $2,606

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $131 Priciest $350

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $476 (about 1.3× the $356 Medicare rate). Faith Community Hospital charges insurers about $350, or about $1,824 in cash — below the fair price — a good deal. Located in Jacksboro, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $381 107%
Humanamajor $320 90%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 215 Chisholm Trail, Jacksboro, TX 76458
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals