CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical City Lewisville

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $907
  • Cash Discount Price: $16,341
  • vs. Medicare Baseline: 3.72x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medical City Lewisville is $907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,341. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.72x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$16,341

Average discount available for prompt cash payment at this facility.

Insurance Median
$907

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: $16,341 (6703%)
Insurance Median: $907 (372%)
Cash: $16,341 (6703% of Medicare)
Ins. Median: $907 (372% 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 372% of the Medicare baseline (a markup of 272%). 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 $185 76%
Amerigroup $188 77%
Cook Childrens Health Plan $188 77%
Parkland Community Health Plan $188 77%
United $188 - $3,252 77%
Cigna $198 - $2,288 81%
Aetna $203 - $11,880 83%
Molina $207 - $211 85%
Humana $235 - $456 96%
Blue Cross Blue Shield $294 - $7,256 121%
Superior Health Plan $1,144 469%
Unicare $3,922 - $16,341 1609%
Healthcare Highways $5,523 2266%
City Of Mckinney $7,354 3017%
Fidelis Securecare $7,354 3017%
National Choicecare $8,171 3352%
Pc Texas Partners $8,988 3687%
Physicians Coop Of Tx $8,988 3687%
Rockport Health Group $8,988 3687%
Averde Health, Inc $9,478 3888%
Usc Health Services $9,805 4022%
Coastal Comp Health Networks $11,439 4693%
Jostens $11,439 4693%
Mega Life $11,439 4693%
Healthsmart Preferred Care $12,256 5028%
Lewisville Isd/Dls Consulting $12,256 5028%
Usa Managed Care $13,073 5363%
Galaxy Health Network $13,890 5698%
Independent Medical Systems $16,341 6703%
National Healthcare Solutions $16,341 6703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals