CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical City Arlington

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,197
  • Cash Discount Price: $17,106
  • vs. Medicare Baseline: 3.36x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical City Arlington is $1,197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,106. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.36x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$17,106

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,197

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: $17,106 (4799%)
Insurance Median: $1,197 (336%)
Cash: $17,106 (4799% of Medicare)
Ins. Median: $1,197 (336% 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 336% of the Medicare baseline (a markup of 236%). 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 $307 86%
Amerigroup $312 88%
Cook Childrens Health Plan $312 88%
Parkland Community Health Plan $312 88%
United $312 - $3,216 88%
Cigna $328 - $2,395 92%
Aetna $337 - $12,436 95%
Molina $343 - $350 96%
Humana $390 - $886 109%
Blue Cross Blue Shield $454 - $7,595 127%
Superior Health Plan $1,197 336%
Unicare $3,250 - $17,106 912%
Healthcare Highways $5,782 1622%
City Of Mckinney $7,698 2160%
Fidelis Securecare $7,698 2160%
Global Sports Services $8,553 2400%
National Choicecare $8,553 2400%
Pc Texas Partners $9,409 2640%
Physicians Coop Of Tx $9,409 2640%
Rockport Health Group $9,409 2640%
Averde Health, Inc $9,922 2784%
Coastal Comp Health Networks $11,974 3359%
Mega Life $11,974 3359%
Healthsmart Preferred Care $12,146 3408%
Lewisville Isd/Dls Consulting $12,830 3600%
Usa Managed Care $13,685 3839%
Usc Health Services $13,685 3839%
Galaxy Health Network $14,540 4079%
Texas Instruments $15,396 4320%
Independent Medical Systems $17,106 4799%
National Healthcare Solutions $17,106 4799%

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