CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Baylor Scott & White Medical Center Grapevine

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,450
Cash Discount Price: $3,276
vs. Medicare Baseline: 5.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Baylor Scott & White Medical Center Grapevine is $1,450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,276. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.95x the Medicare baseline. Located in 1650 W College St, Grapevine, TX.

Cash / Self-Pay

$3,276

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,450

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: $3,276 (1344%)

Insurance Median: $1,450 (595%)

Cash: $3,276 (1344% of Medicare)

Ins. Median: $1,450 (595% 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 595% of the Medicare baseline (a markup of 495%). 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
Superior Health Plan	$190 - $236	78%
Aetna	$194 - $3,003	80%
Baylor Scott & White Health Plan	$214 - $1,762	88%
Humana	$225 - $3,822	92%
Triwest	$225	92%
American Health Plan	$236	97%
Blue Cross Blue Shield	$236 - $1,526	97%
Corvel	$236	97%
Healthspring	$236	97%
Prime Health Services	$236	97%
Procare Advantage	$236	97%
UnitedHealthcare	$259 - $2,114	106%
Ambetter / Centene	$465	191%
Imagine Health	$1,373	563%
Cigna	$1,601 - $1,883	657%
University Of Mary Hardin-Baylor	$1,725	708%
Employers Health Network	$3,003	1232%
Quiktrip	$3,003	1232%
Curative	$3,549	1456%
First Health	$3,822	1568%
Healthsmart	$3,822 - $4,095	1568%
Private Health Care System	$4,095	1680%

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 $3,276.
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 Baylor Scott & White Medical Center Grapevine 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.