CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medina Regional Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $935
Cash Discount Price: $2,549
vs. Medicare Baseline: 3.84x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medina Regional Hospital is $935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,549. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.84x the Medicare baseline. Located in 3100 Avenue E, Hondo, TX.

Cash / Self-Pay

$2,549

Average discount available for prompt cash payment at this facility.

Insurance Median

$935

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: $2,549 (1046%)

Insurance Median: $935 (384%)

Cash: $2,549 (1046% of Medicare)

Ins. Median: $935 (384% 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 384% of the Medicare baseline (a markup of 284%). 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
Aetna	$294 - $1,699	121%
Amerigroup	$294	121%
Superior Health Plan	$294 - $1,097	121%
Community First Health Plan	$309 - $2,832	127%
Cigna	$400	164%
Benefit Administrators	$577	237%
Curative	$584 - $1,699	240%
UnitedHealthcare	$680 - $2,124	279%
Amerivantage	$934	383%
Blue Cross Blue Shield	$1,099	451%
Blue Advantage	$1,416	581%

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 $2,549.
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 Medina Regional 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.