CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Houston Healthcare Tomball

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,024
Cash Discount Price: $33,494
vs. Medicare Baseline: 2.87x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Houston Healthcare Tomball is $1,024. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33,494. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.87x the Medicare baseline. Located in 605 Holderrieth, Tomball, TX.

Cash / Self-Pay

$33,494

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,024

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: $33,494 (9397%)

Insurance Median: $1,024 (287%)

Cash: $33,494 (9397% of Medicare)

Ins. Median: $1,024 (287% 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 287% of the Medicare baseline (a markup of 187%). 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 Childrens Healthplans	$312	88%
Community Health Choice Mcd	$318	89%
United	$324 - $15,072	91%
Molina Healthcare	$343	96%
Aetna	$344 - $1,301	97%
Humana	$390 - $3,864	109%
Blue Cross Blue Shield	$821 - $11,723	230%
Cigna	$1,635 - $2,106	459%
Superior Health Plan	$2,010	564%
Coventry National First Health	$12,192	3421%
Christus (Usfhp)	$13,398	3759%

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 $33,494.
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 HCA Houston Healthcare Tomball 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.