CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St David's South Austin Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,656
  • Cash Discount Price: $15,623
  • vs. Medicare Baseline: 7.45x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St David's South Austin Medical Center is $2,656. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,623. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.45x the Medicare baseline. Located in 901 West Ben White Blvd, Austin, TX.
Cash / Self-Pay
$15,623

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,656

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: $15,623 (4383%)
Insurance Median: $2,656 (745%)
Cash: $15,623 (4383% of Medicare)
Ins. Median: $2,656 (745% 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 745% of the Medicare baseline (a markup of 645%). 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 $270 76%
St David’S Hospice $312 88%
United $324 - $7,030 91%
Blue Cross Blue Shield $328 - $4,984 92%
Molina Healthcare $343 96%
Humana $390 109%
Sendero $390 109%
Aetna $393 - $2,612 110%
Superior Health Plan $781 - $2,656 219%
Cigna $4,531 1271%
Imo Med - Select Network $4,687 1315%
Texas Healthcare Foundation Heb $5,781 1622%
Texas Workforce Commission $6,093 1709%
Averde Health $7,030 1972%
Comanche County $7,812 2192%
Emerging Therapy Solutions $7,812 - $10,780 2192%
National Choicecare $7,812 2192%
Healthsmart Preferred Care $8,593 - $12,498 2411%
Independent Medical Systems $8,593 2411%
Physicians Cooperative Of Texas $8,593 2411%
Prime Health $9,374 2630%
First Health $9,842 - $11,233 2761%
Coastal Comp Health Networks $10,155 2849%
National Health Care $10,155 2849%
Texas Municipal League $10,936 3068%
Medcorp Southwest $11,717 3287%
Preferred Health Arrangement $11,717 3287%
Rockport Healthcare Group $12,498 - $14,061 3506%
Bce Emergis Corporation $14,061 3945%
Beech Street $14,061 3945%
Medical Control Network Solutions $14,061 3945%
Multiplan $14,061 3945%
UnitedHealthcare $15,623 4383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Ben White Blvd, Austin, TX 78704
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals