CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: North Austin Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,395
  • Cash Discount Price: $2,783
  • vs. Medicare Baseline: 3.91x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at North Austin Medical Center is $1,395. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,783. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.91x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$2,783

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,395

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: $2,783 (781%)
Insurance Median: $1,395 (391%)
Cash: $2,783 (781% of Medicare)
Ins. Median: $1,395 (391% 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 391% of the Medicare baseline (a markup of 291%). 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
Superior Health Plan $87 - $1,787 24%
Amerigroup $270 76%
St David’S Hospice $312 88%
United $324 - $4,731 91%
Blue Cross Blue Shield $328 - $3,102 92%
Molina Healthcare $343 96%
Humana $390 109%
Sendero $390 109%
Aetna $393 - $2,612 110%
Imo Med - Select Network $525 - $3,154 147%
Texas Healthcare Foundation Heb $647 - $3,890 182%
Texas Workforce Commission $682 - $4,100 191%
Averde Health $787 - $4,731 221%
UnitedHealthcare $787 - $4,731 221%
Comanche County $874 - $5,257 245%
National Choicecare $874 - $5,257 245%
Healthsmart Preferred Care $962 - $8,411 270%
Independent Medical Systems $962 - $5,783 270%
Physicians Cooperative Of Texas $962 - $5,783 270%
Prime Health $1,049 - $6,308 294%
First Health $1,093 - $7,465 307%
Coastal Comp Health Networks $1,137 - $6,834 319%
National Health Care $1,137 - $6,834 319%
Texas Municipal League $1,224 - $7,360 343%
Medcorp Southwest $1,312 - $7,886 368%
Rockport Healthcare Group $1,399 - $9,463 393%
Bce Emergis Corporation $1,574 - $9,463 442%
Beech Street $1,574 - $9,463 442%
Medical Control Network Solutions $1,574 - $9,463 442%
Multiplan $1,574 - $9,463 442%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals