CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Harlingen Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $453
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Harlingen Medical Center is $453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.27x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.
Cash / Self-Pay
$348

Average discount available for prompt cash payment at this facility.

Insurance Median
$453

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: $348 (98%)
Insurance Median: $453 (127%)
Cash: $348 (98% of Medicare)
Ins. Median: $453 (127% 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.

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
Medicaid / KanCare $312 - $653 88%
Superior Health Plan $312 - $634 88%
Molina $331 - $672 93%
Aetna $349 - $1,211 98%
Blue Cross Blue Shield $349 - $1,214 98%
Careworks Worker Compensation Fka Rockport Community Network $349 98%
Cigna $349 - $602 98%
Humana $349 98%
Medicare (plans) $349 98%
San Benito Medical Associates $349 98%
Texas Bluebonnett Health Plan $349 - $575 98%
Tricare $349 98%
UnitedHealthcare $349 - $1,200 98%
Veterans Evaluation Services $349 98%
Wellmed $349 98%
Workers Compensation $349 98%
Provider Partners Health Plan $366 103%
Imperial Insurance Company $370 104%
Asserta Health $453 127%
Friday Health Plan $453 127%
Magic Valley Electric Cooperative $453 127%
Superior Health Commercial Exchange $453 127%
Employer Direct Healthcare $488 137%
Corporate Remedies Worker Compensation $523 147%
Naphcare $541 152%
Baker Benefits Administrators $697 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5501 South Expressway 77, Harlingen, TX 78550
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals