CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,759
  • Cash Discount Price: $29,108
  • vs. Medicare Baseline: 7.22x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Houston Healthcare Kingwood is $1,759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29,108. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.22x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$29,108

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,759

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: $29,108 (11941%)
Insurance Median: $1,759 (722%)
Cash: $29,108 (11941% of Medicare)
Ins. Median: $1,759 (722% 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 722% of the Medicare baseline (a markup of 622%). 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 $184 75%
Amerigroup $188 77%
Texas Childrens Health Plans $188 - $4,833 77%
Community Health Choice Mcd $190 78%
United $194 - $13,101 80%
Aetna $205 - $1,301 84%
Molina Healthcare $207 85%
Humana $235 - $1,987 96%
Superior Health Plan $445 - $1,747 183%
Blue Cross Blue Shield $506 - $10,190 208%
Cigna $1,635 - $2,106 671%
Christus (Usfhp) $2,969 - $11,645 1218%
Coventry National First Health $3,957 - $15,517 1623%
Multiplan $5,568 - $24,746 2284%
Healthsmart Preferred Care $12,516 - $24,746 5134%
Fidelis Securecare Of Tx $13,099 - $13,101 5374%
Physicians Cooperative Of Texas $16,009 - $16,012 6567%
Rockport Workers Comp $16,009 - $16,012 6567%
Independent Medical System $17,465 - $17,468 7165%
National Healthcare Solutions $17,465 - $17,468 7165%
Southwest Medical $17,465 - $17,468 7165%
Coastal Comp $18,920 - $18,924 7761%
Physicians, Inc $24,742 - $24,746 10150%
Usa Managed Care $24,742 - $24,746 10150%
Affiliated Ppo $26,197 - $26,202 10747%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals