CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical City Fort Worth

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $995
  • Cash Discount Price: $14,523
  • vs. Medicare Baseline: 4.08x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medical City Fort Worth is $995. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,523. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.08x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$14,523

Average discount available for prompt cash payment at this facility.

Insurance Median
$995

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: $14,523 (5958%)
Insurance Median: $995 (408%)
Cash: $14,523 (5958% of Medicare)
Ins. Median: $995 (408% 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 408% of the Medicare baseline (a markup of 308%). 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
Amerigroup $188 77%
Cook Childrens Health Plan $188 77%
Parkland Community Health Plan $188 77%
United $188 - $2,730 77%
Cigna $198 - $7,697 81%
Healthspring Life $198 81%
Aetna $203 - $8,554 83%
Molina $207 - $211 85%
Humana $235 - $456 96%
Blue Cross Blue Shield $277 - $6,448 114%
Superior Health Plan $1,017 417%
Unicare $3,195 - $14,523 1311%
Healthcare Highways $4,909 2014%
City Of Mckinney $6,535 2681%
Fidelis Securecare $6,535 2681%
Emerging Therapy Solutions $7,261 - $10,456 2979%
National Choicecare $7,261 2979%
Pc Texas Partners $7,987 3276%
Physicians Coop Of Tx $7,987 3276%
Rockport Health Group $7,987 3276%
Averde Health, Inc $8,423 3455%
Coastal Comp Health Networks $10,166 4170%
Mega Life $10,166 4170%
Healthsmart Preferred Care $10,311 4230%
Lewisville Isd/Dls Consulting $10,892 4468%
Usa Managed Care $11,618 4766%
Usc Health Services $11,618 4766%
Galaxy Health Network $12,344 5064%
UnitedHealthcare $12,489 5123%
Independent Medical Systems $14,523 5958%
National Healthcare Solutions $14,523 5958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals