CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Houston Healthcare West

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,476
  • Cash Discount Price: $34,566
  • vs. Medicare Baseline: 4.14x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Houston Healthcare West is $1,476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34,566. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.14x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$34,566

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,476

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: $34,566 (9698%)
Insurance Median: $1,476 (414%)
Cash: $34,566 (9698% of Medicare)
Ins. Median: $1,476 (414% 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 414% of the Medicare baseline (a markup of 314%). 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
Texas Health Network $306 86%
Amerigroup $312 88%
Texas Childrens Health Plans $312 - $5,738 88%
Community Health Choice Mcd $318 89%
United $324 - $15,555 91%
Molina Healthcare $343 96%
Aetna $344 - $1,301 97%
Humana $390 - $3,864 109%
Blue Cross Blue Shield $764 - $12,098 214%
Cigna $1,635 - $27,653 459%
Superior Health Plan $2,074 582%
Texas Workforce Commission $8,296 2328%
Christus (Usfhp) $13,826 3879%
Healthsmart Preferred Care $14,863 - $29,381 4170%
Fidelis Securecare Of Tx $15,555 4364%
Coventry National First Health $18,424 5169%
Physicians Cooperative Of Texas $19,011 5334%
Rockport Workers Comp $19,011 5334%
Independent Medical System $20,740 5819%
National Healthcare Solutions $20,740 5819%
Southwest Medical $20,740 5819%
Triumph $20,740 5819%
Coastal Comp $22,468 6304%
Multiplan $25,924 - $29,381 7273%
Physicians, Inc $29,381 8243%
Affiliated Ppo $31,109 8728%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals