CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Glen Rose Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,944
  • Cash Discount Price: $5,634
  • vs. Medicare Baseline: 11.07x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Glen Rose Medical Center is $3,944. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,634. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.07x the Medicare baseline. Located in 1021 Holden Street, Glen Rose, TX.
Cash / Self-Pay
$5,634

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,944

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: $5,634 (1581%)
Insurance Median: $3,944 (1107%)
Cash: $5,634 (1581% of Medicare)
Ins. Median: $3,944 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). 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
Cook Children'S $2,592 727%
Aetna $3,437 - $3,944 964%
Blue Cross Blue Shield $3,662 - $4,507 1027%
Rightcare Scott And White $3,662 1027%
Cigna $3,944 1107%
Scott And White $4,226 1186%
Humana $5,071 - $5,352 1423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1021 Holden Street, Glen Rose, TX 76043
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals