CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Methodist Charlton Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $340
  • Cash Discount Price: $3,770
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Methodist Charlton Medical Center is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,770. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.39x the Medicare baseline. Located in 3500 W Wheatland Road, Dallas, TX.
Cash / Self-Pay
$3,770

Average discount available for prompt cash payment at this facility.

Insurance Median
$340

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: $3,770 (1547%)
Insurance Median: $340 (139%)
Cash: $3,770 (1547% of Medicare)
Ins. Median: $340 (139% 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.

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
UnitedHealthcare $179 - $251 73%
Aetna $234 - $380 96%
Blue Cross Blue Shield $234 - $1,594 96%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $234 96%
Medicare (plans) $234 - $251 96%
Ust Health Proof [1005] $234 96%
Wellcare [7016] $234 96%
American Health Advantage Of Texas [7099] $246 101%
Cigna $246 - $434 101%
Globalhealth [1003] $246 101%
Procare Advantage [7018] $246 101%
Humana $248 102%
Southwestern Health Resources Swhr [7015] $248 102%
Provider Partners Health Plan [7025] $253 104%
Coralvita [9216] $281 115%
Alternative Service Concepts [8005] $293 120%
Oscar Insurance Company [2057] $305 125%
Bright Healthcare [2222] $328 135%
Molina [3017] $340 139%
Wellpoint Marketplace Exchange [3071] $363 149%
Kempton Group Administrators, Tower Extrusions [3061] $375 154%
90 Degree Benefit [3057] $387 159%
Allied National [2031] $387 159%
Entrust/90 Degree [2058] $387 159%
Ambetter / Centene $401 164%
Imperial Insurance Companies [3073] $422 173%
Web Tpa [3049] $434 178%
Department Of Labor [8004] $469 192%
Evry Health [1013] $469 192%
Generic Workers Comp Tx Non Par [9010] $469 192%
Generic Workers Comp Tx Par [8002] $469 192%
Generic Workers Comp Tx Par [9011] $469 192%
Sana Benefits [3069] $469 192%
Velocity [3070] $469 192%
Friday Health Plan [2061] $500 205%
Health Plans Inc [5017] $586 240%
Medical Cost Containment Professionals [3059] $586 240%
Dart Member Care [3039] $633 260%
Healthscope Benefits [2052] $633 260%
Healthscope Benefits [3063] $633 260%
Medicaid / KanCare $770 316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 W Wheatland Road, Dallas, TX 75237
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals