CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical City Arlington

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $929
  • Cash Discount Price: $16,100
  • vs. Medicare Baseline: 3.81x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medical City Arlington is $929. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,100. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.81x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$16,100

Average discount available for prompt cash payment at this facility.

Insurance Median
$929

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: $16,100 (6605%)
Insurance Median: $929 (381%)
Cash: $16,100 (6605% of Medicare)
Ins. Median: $929 (381% 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 381% of the Medicare baseline (a markup of 281%). 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 $185 76%
Amerigroup $188 77%
Cook Childrens Health Plan $188 77%
Parkland Community Health Plan $188 77%
United $188 - $3,027 77%
Cigna $198 - $2,254 81%
Aetna $203 - $11,705 83%
Molina $207 - $211 85%
Humana $235 - $456 96%
Blue Cross Blue Shield $277 - $7,149 114%
Superior Health Plan $1,127 462%
Unicare $3,059 - $16,100 1255%
Healthcare Highways $5,442 2232%
City Of Mckinney $7,245 2972%
Fidelis Securecare $7,245 2972%
Global Sports Services $8,050 3302%
National Choicecare $8,050 3302%
Pc Texas Partners $8,855 3633%
Physicians Coop Of Tx $8,855 3633%
Rockport Health Group $8,855 3633%
Averde Health, Inc $9,338 3831%
Coastal Comp Health Networks $11,270 4623%
Mega Life $11,270 4623%
Healthsmart Preferred Care $11,431 4689%
Lewisville Isd/Dls Consulting $12,075 4953%
Usa Managed Care $12,880 5284%
Usc Health Services $12,880 5284%
Galaxy Health Network $13,685 5614%
Texas Instruments $14,490 5944%
Independent Medical Systems $16,100 6605%
National Healthcare Solutions $16,100 6605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals