CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Matagorda Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $924
Cash Discount Price: $825
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Matagorda Regional Medical Center is $924. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $825. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.79x the Medicare baseline. Located in 104 7Th Street, Bay City, TX.

Cash / Self-Pay

$825

Average discount available for prompt cash payment at this facility.

Insurance Median

$924

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: $825 (338%)

Insurance Median: $924 (379%)

Cash: $825 (338% of Medicare)

Ins. Median: $924 (379% 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 379% of the Medicare baseline (a markup of 279%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$240 - $1,035	98%
Humana	$240 - $683	98%
Medicare (plans)	$240	98%
Triwest	$240	98%
United	$240	98%
Wellcare	$240	98%
UnitedHealthcare	$264 - $924	108%
Am Better	$288	118%
Alliance	$336	138%
Corvel	$479	196%
Cigna	$600	246%
Coventry First Health	$650	267%
Blue Cross Blue Shield	$860 - $1,210	353%
Comm Care	$924	379%
Medicaid / KanCare	$924	379%
Molina	$924	379%
Scott & White	$924	379%
Superior	$924	379%
Tcstar	$924	379%
Wellpoint	$924	379%
Galaxy Health	$1,155	474%
Independent Medical System	$1,402	575%
Multiplan Phcs	$1,402	575%
Three Rivers	$1,402	575%
Health Smart	$1,485	609%
Usa Managed	$1,485	609%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $825.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Matagorda Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.