CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St David's Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,768
  • Cash Discount Price: $7,076
  • vs. Medicare Baseline: 4.96x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St David's Medical Center is $1,768. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,076. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.96x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$7,076

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,768

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: $7,076 (1985%)
Insurance Median: $1,768 (496%)
Cash: $7,076 (1985% of Medicare)
Ins. Median: $1,768 (496% 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 496% of the Medicare baseline (a markup of 396%). 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 $270 76%
St David’S Hospice $312 88%
United $324 - $3,184 91%
Blue Cross Blue Shield $328 - $2,257 92%
Molina Healthcare $343 96%
Superior Health Plan $354 - $1,203 99%
Humana $390 109%
Sendero $390 109%
Aetna $393 - $2,612 110%
Imo Med - Select Network $2,123 596%
Texas Healthcare Foundation Heb $2,618 735%
Texas Workforce Commission $2,760 774%
Averde Health $3,184 893%
Comanche County $3,538 993%
National Choicecare $3,538 993%
Healthsmart Preferred Care $3,892 - $5,661 1092%
Independent Medical Systems $3,892 1092%
Physicians Cooperative Of Texas $3,892 1092%
Prime Health $4,246 1191%
First Health $4,458 - $5,088 1251%
Coastal Comp Health Networks $4,599 1290%
National Health Care $4,599 1290%
Texas Municipal League $4,953 1390%
Medcorp Southwest $5,307 1489%
Rockport Healthcare Group $5,661 - $6,368 1588%
Bce Emergis Corporation $6,368 1787%
Beech Street $6,368 1787%
Medical Control Network Solutions $6,368 1787%
Multiplan $6,368 1787%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals