CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Baylor Medical Center at Trophy Club

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,646
  • Cash Discount Price: $3,394
  • vs. Medicare Baseline: 15.84x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Baylor Medical Center at Trophy Club is $5,646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,394. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 15.84x the Medicare baseline. Located in 2850 E State Highway 114, Trophy Club, TX.
Cash / Self-Pay
$3,394

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,646

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: $3,394 (952%)
Insurance Median: $5,646 (1584%)
Cash: $3,394 (952% of Medicare)
Ins. Median: $5,646 (1584% 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 1584% of the Medicare baseline (a markup of 1484%). 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
Aetna $2,659 - $3,111 746%
Blue Cross Blue Shield $3,038 - $8,427 852%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2850 E State Highway 114, Trophy Club, TX 76262
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals