CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $309
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Christus Santa Rosa Hospital-San Marcos is $309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.27x the Medicare baseline. Located in 1301 Wonder World Drive, San Marcos, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$309

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%)
Insurance Median: $309 (127%)
Ins. Median: $309 (127% 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
UnitedHealthcare $190 - $1,161 78%
Allwell $234 96%
Christus Health $234 - $328 96%
Humana $234 - $713 96%
Triwest $234 96%
Washington National $234 96%
Wellcare $234 96%
Aetna $239 98%
Cigna $241 - $1,493 99%
Provider Partners Health Plan $241 99%
Shared Health Insurance Company $246 101%
Amerigroup $253 - $309 104%
Devoted Health Plan $253 104%
Community First $294 121%
Blue Cross Blue Shield $300 - $1,328 123%
Texas Childrens Health Plan $309 127%
Superior $338 139%
Sendero $401 164%
Naphcare Inc. $468 192%
Healthcare Highways $593 243%
Community First Health Plan $673 276%
Five Point Credit Union $1,500 615%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 Wonder World Drive, San Marcos, TX 78666
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals