CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Round Rock Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,517
  • Cash Discount Price: $14,805
  • vs. Medicare Baseline: 10.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Round Rock Medical Center is $2,517. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,805. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.33x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$14,805

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,517

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: $14,805 (6073%)
Insurance Median: $2,517 (1033%)
Cash: $14,805 (6073% of Medicare)
Ins. Median: $2,517 (1033% 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 1033% of the Medicare baseline (a markup of 933%). 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 $174 71%
St David’S Hospice $188 77%
United $194 - $6,662 80%
Blue Cross Blue Shield $198 - $4,723 81%
Molina Healthcare $207 85%
Humana $235 96%
Sendero $235 96%
Aetna $237 - $2,612 97%
Superior Health Plan $740 - $2,517 304%
Imo Med - Select Network $4,442 1822%
Texas Healthcare Foundation Heb $5,478 2247%
Texas Workforce Commission $5,774 2369%
Averde Health $6,662 2733%
Comanche County $7,402 3036%
National Choicecare $7,402 3036%
Healthsmart Preferred Care $8,143 - $11,844 3340%
Independent Medical Systems $8,143 3340%
Physicians Cooperative Of Texas $8,143 3340%
Prime Health $8,883 3644%
First Health $9,327 - $10,645 3826%
Coastal Comp Health Networks $9,623 3948%
National Health Care $9,623 3948%
Texas Municipal League $10,364 4252%
Medcorp Southwest $11,104 4555%
Preferred Health Arrangement $11,104 4555%
Rockport Healthcare Group $11,844 - $13,324 4859%
Bce Emergis Corporation $13,324 5466%
Beech Street $13,324 5466%
Medical Control Network Solutions $13,324 5466%
Multiplan $13,324 5466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals