CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical City Fort Worth

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,168
  • Cash Discount Price: $16,685
  • vs. Medicare Baseline: 3.28x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical City Fort Worth is $1,168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,685. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.28x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$16,685

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,168

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: $16,685 (4681%)
Insurance Median: $1,168 (328%)
Cash: $16,685 (4681% of Medicare)
Ins. Median: $1,168 (328% 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 328% of the Medicare baseline (a markup of 228%). 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 $312 88%
Cook Childrens Health Plan $312 88%
Parkland Community Health Plan $312 88%
United $312 - $3,137 88%
Cigna $328 - $8,843 92%
Healthspring Life $328 92%
Aetna $337 - $9,828 95%
Molina $343 - $350 96%
Humana $390 - $886 109%
Blue Cross Blue Shield $454 - $7,408 127%
Superior Health Plan $1,168 328%
Unicare $3,671 - $16,685 1030%
Healthcare Highways $5,640 1582%
City Of Mckinney $7,508 2106%
Fidelis Securecare $7,508 2106%
Emerging Therapy Solutions $8,343 - $12,013 2341%
National Choicecare $8,343 2341%
Pc Texas Partners $9,177 2575%
Physicians Coop Of Tx $9,177 2575%
Rockport Health Group $9,177 2575%
Averde Health, Inc $9,678 2715%
Coastal Comp Health Networks $11,680 3277%
Mega Life $11,680 3277%
Healthsmart Preferred Care $11,847 3324%
Lewisville Isd/Dls Consulting $12,514 3511%
Usa Managed Care $13,348 3745%
Usc Health Services $13,348 3745%
Galaxy Health Network $14,183 3979%
UnitedHealthcare $14,349 4026%
Independent Medical Systems $16,685 4681%
National Healthcare Solutions $16,685 4681%

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