CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $485
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Christus Santa Rosa Hospital-San Marcos is $485. 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 $356.43, this hospital’s rate is 1.36x 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
$485

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%)
Insurance Median: $485 (136%)
Ins. Median: $485 (136% 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
UnitedHealthcare $253 - $1,161 71%
Allwell $346 97%
Christus Health $346 - $485 97%
Humana $346 - $713 97%
Triwest $346 97%
Washington National $346 97%
Wellcare $346 97%
Aetna $353 99%
Cigna $356 - $1,493 100%
Provider Partners Health Plan $356 100%
Shared Health Insurance Company $363 102%
Amerigroup $374 - $487 105%
Devoted Health Plan $374 105%
Community First $464 130%
Blue Cross Blue Shield $474 - $2,177 133%
Texas Childrens Health Plan $487 137%
Superior $534 150%
Sendero $592 166%
Community First Health Plan $673 189%
Naphcare Inc. $692 194%
Healthcare Highways $876 246%
Five Point Credit Union $1,500 421%

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