CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Valley Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,959
Cash Discount Price: $21,893
vs. Medicare Baseline: 5.50x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Valley Regional Medical Center is $1,959. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,893. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.50x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$21,893

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,959

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: $21,893 (6142%)

Insurance Median: $1,959 (550%)

Cash: $21,893 (6142% of Medicare)

Ins. Median: $1,959 (550% 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 550% of the Medicare baseline (a markup of 450%). 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	$309	87%
Usa Mco	$312	88%
Driscoll Childrens Health Plan	$321	90%
United	$324 - $9,852	91%
Molina Healthcare	$343	96%
Aetna	$344 - $2,309	97%
Blue Cross Blue Shield	$936 - $9,852	263%
Superior Health Plan	$1,533	430%
Humana	$2,177	611%
Texas Workforce Commission	$5,254	1474%
Averde Health	$7,225	2027%
Healthsmart Preferred Care	$9,414 - $18,609	2641%
First Health	$12,588	3532%
National Healthcare Solutions	$13,136	3685%
Southwest Medical	$13,136	3685%
Coastal Comp	$14,230	3992%
Total E&P Mexico	$14,230	3992%
Affiliated Healthcare	$14,887	4177%
Mcm Maxcare	$17,514	4914%
Pronet Ppo	$17,514	4914%
Usa Managed Care	$17,514	4914%
Beech Street	$19,704	5528%

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 $21,893.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.