CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mc Camey Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,046
Cash Discount Price: $2,325
vs. Medicare Baseline: 8.39x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mc Camey Hospital is $2,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,325. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.39x the Medicare baseline. Located in 2500 Hwy 305 South, McCamey, TX.

Cash / Self-Pay

$2,325

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,046

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: $2,325 (954%)

Insurance Median: $2,046 (839%)

Cash: $2,325 (954% of Medicare)

Ins. Median: $2,046 (839% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 839% of the Medicare baseline (a markup of 739%). 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 Healthplan	$190 - $930	78%
Wellpoint	$294 - $3,100	121%
Capstar	$363 - $1,550	149%
UnitedHealthcare	$800 - $2,046	328%
Firstcare Star	$1,150 - $1,426	472%
Blue Cross Blue Shield	$1,888 - $2,790	775%
Aetna	$2,046 - $2,635	839%
Humana	$2,046 - $2,480	839%
Multiplan	$2,046	839%
Cigna	$2,480	1017%
Three Rivers Provider	$2,635	1081%
Galaxy	$2,790	1145%
Healthsmart	$2,790	1145%
Swhp Mco	$2,790	1145%

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 $2,325.
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 Mc Camey Hospital 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.