CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ascension Seton Southwest

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $234
Cash Discount Price: $2,440
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ascension Seton Southwest is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,440. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 7900 Fm 1826, Austin, TX.

Cash / Self-Pay

$2,440

Average discount available for prompt cash payment at this facility.

Insurance Median

$234

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: $2,440 (1001%)

Insurance Median: $234 (96%)

Cash: $2,440 (1001% of Medicare)

Ins. Median: $234 (96% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Champva	$118 - $194	48%
Tricare	$185 - $234	76%
Ambetter / Centene	$190 - $422	78%
Blue Cross Blue Shield	$190 - $1,042	78%
Dell Chip/Chip Perinate	$190	78%
Dell Star	$190	78%
UnitedHealthcare	$190 - $239	78%
Wellpoint Chip/Chip Perinate	$190	78%
Wellpoint Star	$190	78%
Wellpoint Star Kids	$190	78%
Wellpoint Star Plus	$190	78%
Humana	$200 - $234	82%
Aarp Mc Wellmed	$230	94%
Sendero Chap	$232	95%
Addr Cancer Together	$234	96%
Aetna	$234 - $1,345	96%
Covid Hrsa	$234	96%
Cshcn Cidc	$234	96%
Devoted Health Mcr Replacement	$234	96%
Medicare (plans)	$234	96%
Research Study	$234	96%
Smarthealth	$234	96%
Superior Allwell	$234	96%
Wellcare Med Advantage	$234	96%
Connected Senior Care	$241	99%
Pphp Mcr Advantage	$246	101%
Tx Independence Hp	$246	101%
Occunet	$328	135%
Sendero Idealcare	$410	168%
Seton Performance Plus	$625	256%
Covenant Health	$1,093	448%
Cigna	$1,610	660%
Superior Star	$2,711	1112%
Superior Star Foster	$2,711	1112%
Superior Star Kids	$2,711	1112%
Superior Star Plus	$2,711	1112%
Superior Chip/Chip Perinate	$3,050	1251%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,440.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ascension Seton Southwest is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.