CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: The Medical Center of Southeast Texas

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $320
  • Cash Discount Price: $8,242
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at The Medical Center of Southeast Texas is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,242. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.31x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$8,242

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

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: $8,242 (3381%)
Insurance Median: $320 (131%)
Cash: $8,242 (3381% of Medicare)
Ins. Median: $320 (131% 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.

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
League Medical Concepts $189 - $235 78%
Amerigroup $190 - $313 78%
Harbor Hospice $190 78%
Medicaid / KanCare $190 - $1,257 78%
Texas Childrens Health Plan $190 - $653 78%
Medsolutions $192 79%
Community Health Choice $199 - $260 82%
Community Health Choice Uhrip $199 82%
Molina Healthcare $199 - $293 82%
UnitedHealthcare $199 - $860 82%
Humana $206 - $1,427 85%
Healthspring $213 87%
Medicare (plans) $213 87%
Provider Partners Health Plan $213 87%
Selectcare $213 87%
Superior Healthplan $213 - $325 87%
Tihp (Texas Independence Health Plan) $213 87%
Caresact $217 89%
Employer Direct Healthcare $217 - $219 89%
Hospice $217 89%
Rice Land Hospice $217 89%
Texas Medical Management Partners $217 - $219 89%
Tricare $217 89%
Triwest $217 89%
Beacon Health $218 89%
Cccn Pro Advantage $224 92%
Wellcare Of Texas $224 92%
Blue Cross Blue Shield $227 - $3,404 93%
Wellpath $238 98%
Corporate Remedies $320 131%
Elap Services $420 172%
Texas Workers Compensation $433 178%
Aetna $475 - $875 195%
Cigna $560 - $5,769 230%
Iasis Employees $729 299%
Self Pay Emergent $1,236 507%
Dept Of Assistive And Rehabilitative Services $4,121 1691%
Magellan Behavioral Health $4,945 2029%
First Health $5,440 2232%
Galaxy Health Network $5,769 2367%
Private Healthcare Systems $5,769 2367%
Texas Municipal League $5,769 2367%
Healthsmart $6,182 2536%
Multiplan $6,594 2705%
Commercial Non-Contracted $8,242 3381%
Heart To Heart Hospice $8,242 3381%
Lifesynch $8,242 3381%
Mhnet $8,242 3381%
Self Pay - Mcd Pending 100 Percent $8,242 3381%
Single Case Agreement $8,242 3381%
United Behavioral Health $8,242 3381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals