CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Valley Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,723
Cash Discount Price: $14,507
vs. Medicare Baseline: 7.07x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Valley Regional Medical Center is $1,723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,507. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.07x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$14,507

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,723

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: $14,507 (5951%)

Insurance Median: $1,723 (707%)

Cash: $14,507 (5951% of Medicare)

Ins. Median: $1,723 (707% 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 707% of the Medicare baseline (a markup of 607%). 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
Texas Health Network	$186	76%
Usa Mco	$188	77%
Driscoll Childrens Health Plan	$194	80%
United	$194 - $6,528	80%
Aetna	$205 - $2,309	84%
Molina Healthcare	$207	85%
Blue Cross Blue Shield	$571 - $6,528	234%
Superior Health Plan	$1,015	416%
Humana	$1,120	459%
Texas Workforce Commission	$3,482	1428%
Averde Health	$4,787	1964%
Healthsmart Preferred Care	$6,238 - $12,331	2559%
First Health	$8,342	3422%
National Healthcare Solutions	$8,704	3571%
Southwest Medical	$8,704	3571%
Coastal Comp	$9,430	3868%
Total E&P Mexico	$9,430	3868%
Affiliated Healthcare	$9,865	4047%
Mcm Maxcare	$11,606	4761%
Pronet Ppo	$11,606	4761%
Usa Managed Care	$11,606	4761%
Beech Street	$13,056	5356%

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 $14,507.
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 Valley Regional Medical Center 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.