CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Womans Hospital of Texas,The

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $965
  • Cash Discount Price: $11,847
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Womans Hospital of Texas,The is $965. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,847. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.96x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$11,847

Average discount available for prompt cash payment at this facility.

Insurance Median
$965

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: $11,847 (4860%)
Insurance Median: $965 (396%)
Cash: $11,847 (4860% of Medicare)
Ins. Median: $965 (396% 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 396% of the Medicare baseline (a markup of 296%). 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
Texas Health Network $184 75%
Amerigroup $188 77%
Texas Childrens Health Plans $188 - $3,092 77%
Community Health Choice Mcd $190 78%
United $194 - $5,331 80%
Aetna $205 - $1,461 84%
Molina Healthcare $207 85%
Humana $235 - $1,987 96%
Blue Cross Blue Shield $466 - $4,146 191%
Superior Health Plan $711 292%
Cigna $1,635 - $2,106 671%
Christus (Usfhp) $4,739 1944%
Healthsmart Preferred Care $5,094 - $10,070 2090%
Fidelis Securecare Of Tx $5,331 2187%
Coventry National First Health $6,314 2590%
Physicians Cooperative Of Texas $6,516 2673%
Rockport Workers Comp $6,516 2673%
Independent Medical System $7,108 2916%
National Healthcare Solutions $7,108 2916%
Southwest Medical $7,108 2916%
Coastal Comp $7,700 3159%
Affiliated Ppo $8,885 3645%
Fiesta Mart, Inc $8,885 3645%
Multiplan $8,885 - $10,070 3645%
Physicians, Inc $10,070 4131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals