CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical City Plano

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,206
  • Cash Discount Price: $17,230
  • vs. Medicare Baseline: 3.38x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical City Plano is $1,206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,230. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.38x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$17,230

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,206

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: $17,230 (4834%)
Insurance Median: $1,206 (338%)
Cash: $17,230 (4834% of Medicare)
Ins. Median: $1,206 (338% 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 338% of the Medicare baseline (a markup of 238%). 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
Amerigroup $312 88%
United $312 - $2,998 88%
Cigna $328 - $2,412 92%
Aetna $337 - $10,424 95%
Molina $343 - $350 96%
Parkland Community Health Plan $343 96%
Humana $390 - $886 109%
Blue Cross Blue Shield $481 - $7,650 135%
Superior Health Plan $1,206 338%
Lifecare Hospitals $5,169 1450%
Healthcare Highways $5,824 1634%
Prominence Health Plan $6,892 1934%
City Of Mckinney $7,754 2175%
Fidelis Securecare $7,754 2175%
National Choicecare $8,615 2417%
Pc Texas Partners $9,477 2659%
Physicians Coop Of Tx $9,477 2659%
Rockport Health Group $9,477 2659%
Averde Health, Inc $9,994 2804%
Texas Healthcare Foundation Wc $11,200 3142%
Coastal Comp Health Networks $12,061 3384%
Mega Life $12,061 3384%
Healthsmart Preferred Care $12,923 3626%
Lewisville Isd/Dls Consulting $12,923 3626%
Usa Managed Care $13,784 3867%
Usc Health Services $13,784 3867%
Galaxy Health Network $14,646 4109%
Independent Medical Systems $17,230 4834%
National Healthcare Solutions $17,230 4834%
Unicare $17,230 4834%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals