CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Texas Health Harris Methodist Hospital Stephenvill

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,458
  • Cash Discount Price: $3,920
  • vs. Medicare Baseline: 4.09x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Texas Health Harris Methodist Hospital Stephenvill is $1,458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,920. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.09x the Medicare baseline. Located in 411 N Belknap St, Stephenville, TX.
Cash / Self-Pay
$3,920

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,458

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: $3,920 (1100%)
Insurance Median: $1,458 (409%)
Cash: $3,920 (1100% of Medicare)
Ins. Median: $1,458 (409% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 409% of the Medicare baseline (a markup of 309%). 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
American Health $350 98%
Blue Cross Blue Shield $350 - $2,707 98%
Healthspring $357 100%
Humana $364 102%
Amerigroup $368 - $462 103%
Molina $368 - $499 103%
Superior Wellcare $368 - $485 103%
UnitedHealthcare $389 - $1,458 109%
Aetna $916 - $4,580 257%
Fort Worth Firefighters $963 - $3,989 270%
Cigna $1,792 - $6,148 503%
City Of Fort Worth $3,071 862%
Quick Trip $4,639 1302%
Phcs $5,462 1532%
Healthsmart $5,685 - $6,273 1595%
Multiplan $5,685 1595%
Galaxy $5,750 1613%
Usa $5,750 1613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 411 N Belknap St, Stephenville, TX 76401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals