CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical Center of McKinney

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,728
  • Cash Discount Price: $11,030
  • vs. Medicare Baseline: 11.19x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medical Center of McKinney is $2,728. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,030. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.19x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$11,030

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,728

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: $11,030 (4525%)
Insurance Median: $2,728 (1119%)
Cash: $11,030 (4525% of Medicare)
Ins. Median: $2,728 (1119% 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 1119% of the Medicare baseline (a markup of 1019%). 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
Amerigroup $188 77%
Parkland Community Health Plan $188 77%
United $188 - $2,477 77%
Cigna $198 - $10,595 81%
Aetna $203 - $9,628 83%
Molina $207 - $211 85%
Humana $235 - $8,608 96%
Blue Cross Blue Shield $294 - $5,880 121%
Superior Health Plan $617 - $927 253%
Unicare $2,293 - $13,243 941%
Healthcare Highways $2,980 - $4,476 1222%
Fidelis Securecare $3,968 - $5,960 1628%
National Choicecare $4,409 - $6,622 1809%
Pc Texas Partners $4,850 - $7,284 1990%
Physicians Coop Of Tx $4,850 - $7,284 1990%
Rockport Health Group $4,850 - $7,284 1990%
Averde Health, Inc $5,114 - $7,681 2098%
Magellan Bh $5,290 - $7,946 2170%
Value Options Behavioral Health $5,290 - $7,946 2170%
Coastal Comp Health Networks $6,172 - $9,270 2532%
Mega Life $6,172 - $9,270 2532%
Lewisville Isd/Dls Consulting $6,613 - $9,933 2713%
Compsych Corporation $7,054 - $10,595 2894%
Healthsmart Preferred Care $7,054 - $10,595 2894%
Usa Managed Care $7,054 - $10,595 2894%
Galaxy Health Network $7,495 - $11,257 3075%
Independent Medical Systems $8,817 - $13,243 3617%
National Healthcare Solutions $8,817 - $13,243 3617%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals