CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Baylor Scott & White Medical Center Plano

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,762
Cash Discount Price: $3,602
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Baylor Scott & White Medical Center Plano is $1,762. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,602. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.94x the Medicare baseline. Located in 4700 Alliance Boulevard, Plano, TX.

Cash / Self-Pay

$3,602

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,762

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: $3,602 (1011%)

Insurance Median: $1,762 (494%)

Cash: $3,602 (1011% of Medicare)

Ins. Median: $1,762 (494% 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 494% of the Medicare baseline (a markup of 394%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Superior Health Plan	$318 - $369	89%
Baylor Scott & White Health Plan	$334 - $1,762	94%
Aetna	$352 - $3,302	99%
Humana	$352 - $4,203	99%
Triwest	$352	99%
Corvel	$368	103%
Prime Health Services	$368	103%
American Health Plan	$369	104%
Blue Cross Blue Shield	$369 - $2,501	104%
Healthspring	$369	104%
Procare Advantage	$369	104%
UnitedHealthcare	$404 - $4,203	113%
Ambetter / Centene	$728	204%
Imagine Health	$1,373	385%
Cigna	$1,601 - $1,883	449%
University Of Mary Hardin-Baylor	$1,725	484%
Employers Health Network	$3,302	926%
Quiktrip	$3,302	926%
Independent Medical System	$3,602	1011%
Curative	$3,903	1095%
First Health	$4,203	1179%
Healthsmart	$4,203 - $4,503	1179%
Private Health Care System	$4,503	1263%

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 $3,602.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center Plano is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.