CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical Center of McKinney

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,203
  • Cash Discount Price: $13,005
  • vs. Medicare Baseline: 8.99x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical Center of McKinney is $3,203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,005. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.99x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$13,005

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,203

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: $13,005 (3649%)
Insurance Median: $3,203 (899%)
Cash: $13,005 (3649% of Medicare)
Ins. Median: $3,203 (899% 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 899% of the Medicare baseline (a markup of 799%). 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 $312 88%
Parkland Community Health Plan $312 88%
United $312 - $2,953 88%
Cigna $328 - $12,635 92%
Aetna $337 - $11,482 95%
Molina $343 - $350 96%
Humana $390 - $10,266 109%
Blue Cross Blue Shield $481 - $7,013 135%
Superior Health Plan $715 - $1,106 201%
Unicare $2,656 - $15,794 745%
Healthcare Highways $3,453 - $5,338 969%
Fidelis Securecare $4,597 - $7,107 1290%
National Choicecare $5,108 - $7,897 1433%
Pc Texas Partners $5,619 - $8,687 1576%
Physicians Coop Of Tx $5,619 - $8,687 1576%
Rockport Health Group $5,619 - $8,687 1576%
Averde Health, Inc $5,925 - $9,161 1662%
Magellan Bh $6,129 - $9,476 1720%
Value Options Behavioral Health $6,129 - $9,476 1720%
Coastal Comp Health Networks $7,151 - $11,056 2006%
Mega Life $7,151 - $11,056 2006%
Lewisville Isd/Dls Consulting $7,662 - $11,846 2150%
Compsych Corporation $8,173 - $12,635 2293%
Healthsmart Preferred Care $8,173 - $12,635 2293%
Usa Managed Care $8,173 - $12,635 2293%
Galaxy Health Network $8,683 - $13,425 2436%
Independent Medical Systems $10,216 - $15,794 2866%
National Healthcare Solutions $10,216 - $15,794 2866%

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