CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Texoma Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,113
  • Cash Discount Price: $9,638
  • vs. Medicare Baseline: 8.67x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Texoma Medical Center is $2,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,638. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.67x the Medicare baseline. Located in 5016 S Us Highway 75, Denison, TX.
Cash / Self-Pay
$9,638

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,113

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: $9,638 (3954%)
Insurance Median: $2,113 (867%)
Cash: $9,638 (3954% of Medicare)
Ins. Median: $2,113 (867% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 867% of the Medicare baseline (a markup of 767%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Molina $290 119%
Tchp $304 125%
Amerigroup $467 192%
United_Healthcare $467 192%
Healthchoice $483 198%
Superior $627 257%
Aetna $3,598 1476%
Cigna $4,742 - $5,101 1945%
Humana $7,492 3073%
Multiplan $9,124 3743%
Healthsmart $9,638 3954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5016 S Us Highway 75, Denison, TX 75020
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals