CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Covenant Hospital Levelland

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$600

about 2.5× the $244 Medicare rate · typically $371–$767

modeled estimate · not a bill or quote

What this hospital charges insurers

$514

Below the fair price — a good deal

about $86 under the fair price · 2.1× Medicare

Medicare pays $244 Fair price $600 This hospital $514 Cash price $1,078 Hospital's list price $2,566

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $83 Priciest $514

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $600 (about 2.5× the $244 Medicare rate). Covenant Hospital Levelland charges insurers about $514, or about $1,078 in cash — below the fair price — a good deal. Located in Levelland, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$253	104%
Blue Cross Blue Shieldmajor	$232 - $990	95%
Aetnamajor	$240	98%
Baylor Scott & White	$514 - $639	211%
+ 1 smaller / regional plan	$252

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,078), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Covenant Hospital Levelland is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Covenant Hospital Levelland

Compare: CT scan, abdomen and pelvis (no contrast) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.