CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical City Lewisville

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$406

about 1.1× the $356 Medicare rate · typically $344–$682

modeled estimate · not a bill or quote

What this hospital charges insurers

$343

Below the fair price — a good deal

about $63 under the fair price · 1.0× Medicare

Medicare pays $356 Fair price $406 This hospital $343 Cash price $17,973 Hospital's list price $17,973

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $131 Priciest $343

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $406 (about 1.1× the $356 Medicare rate). Medical City Lewisville charges insurers about $343, or about $17,973 in cash — below the fair price — a good deal. Located in Lewisville, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$312 - $3,577	88%
Blue Cross Blue Shieldmajor	$481 - $7,980	135%
Aetnamajor	$337 - $13,067	95%
Cignamajor	$328 - $2,516	92%
Humanamajor	$390 - $886	109%
Amerigroup	$312	88%
Fidelis Care	$8,088	2269%
Health Net	$307 - $12,581	86%
Healthcare Highways	$6,075	1704%
Molina	$343 - $350	96%
UniCare	$4,314 - $17,973	1210%
+ 13 smaller / regional plans	$312 - $17,973

Government programs also on file: Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 17,973), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Medical City Lewisville is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Medical City Lewisville

Compare: CT scan, abdomen and pelvis (with contrast) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.