CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical City Fort Worth

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$257

about 1.1× the $244 Medicare rate · typically $211–$418

modeled estimate · not a bill or quote

What this hospital charges insurers

$211

Below the fair price — a good deal

about $46 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $257 This hospital $211 Cash price $14,523 Hospital's list price $14,523

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 $83 Priciest $211

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 (no contrast) is about $257 (about 1.1× the $244 Medicare rate). Medical City Fort Worth charges insurers about $211, or about $14,523 in cash — below the fair price — a good deal. Located in Fort Worth, 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	$188 - $12,489	77%
Blue Cross Blue Shieldmajor	$277 - $6,448	114%
Aetnamajor	$203 - $8,554	83%
Cignamajor	$198 - $7,697	81%
Humanamajor	$235 - $456	96%
Amerigroup	$188	77%
Cigna HealthSpring	$198	81%
Fidelis Care	$6,535	2681%
Health Net	$10,166	4170%
Healthcare Highways	$4,909	2014%
Molina	$207 - $211	85%
UniCare	$3,195 - $14,523	1311%
+ 13 smaller / regional plans	$188 - $14,523

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 14,523), 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: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Medical City Fort Worth is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
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 Fort Worth

Compare: CT scan, abdomen and pelvis (no contrast) at other TX hospitals

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