CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: The Medical Center of Southeast Texas

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $475
  • Cash Discount Price: $11,269
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at The Medical Center of Southeast Texas is $475. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,269. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.33x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$11,269

Average discount available for prompt cash payment at this facility.

Insurance Median
$475

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: $11,269 (3162%)
Insurance Median: $475 (133%)
Cash: $11,269 (3162% of Medicare)
Ins. Median: $475 (133% 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.

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
Medsolutions $301 84%
League Medical Concepts $310 - $368 87%
Amerigroup $318 - $525 89%
Harbor Hospice $318 89%
Medicaid / KanCare $318 - $1,718 89%
Texas Childrens Health Plan $318 - $892 89%
Humana $323 - $1,427 91%
Superior Healthplan $325 - $335 91%
Community Health Choice $334 - $408 94%
Community Health Choice Uhrip $334 94%
Molina Healthcare $334 - $459 94%
UnitedHealthcare $334 - $860 94%
Healthspring $335 94%
Medicare (plans) $335 94%
Provider Partners Health Plan $335 94%
Selectcare $335 94%
Tihp (Texas Independence Health Plan) $335 94%
Caresact $340 95%
Employer Direct Healthcare $340 - $358 95%
Hospice $340 95%
Rice Land Hospice $340 95%
Texas Medical Management Partners $340 - $358 95%
Tricare $340 95%
Triwest $340 95%
Cccn Pro Advantage $351 98%
Wellcare Of Texas $351 98%
Blue Cross Blue Shield $357 - $4,654 100%
Beacon Health $366 103%
Wellpath $374 105%
Aetna $475 - $875 133%
Corporate Remedies $502 141%
Cigna $560 - $7,888 157%
Elap Services $659 185%
Texas Workers Compensation $680 191%
Iasis Employees $729 205%
Self Pay Emergent $1,690 474%
Dept Of Assistive And Rehabilitative Services $5,634 1581%
Magellan Behavioral Health $6,761 1897%
First Health $7,437 2087%
Galaxy Health Network $7,888 2213%
Private Healthcare Systems $7,888 2213%
Texas Municipal League $7,888 2213%
Healthsmart $8,452 2371%
Multiplan $9,015 2529%
Commercial Non-Contracted $11,269 3162%
Heart To Heart Hospice $11,269 3162%
Lifesynch $11,269 3162%
Mhnet $11,269 3162%
Self Pay - Mcd Pending 100 Percent $11,269 3162%
Single Case Agreement $11,269 3162%
United Behavioral Health $11,269 3162%

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