CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$306
about 0.9× the $356 Medicare rate · typically $228–$656
modeled estimate · not a bill or quote
What this hospital charges insurers
$305
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $356 Fair price $306 This hospital $305 Cash price $1,854 Hospital's list price $2,649

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $131 Priciest $305

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $306 (about 0.9× the $356 Medicare rate). Memorial Medical Center charges insurers about $305, or about $1,854 in cash — about the fair price. Located in Port Lavaca, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $82 - $3,994 23%
Blue Cross Blue Shieldmajor $229 - $1,202 64%
Aetnamajor $103 - $3,994 29%
Cignamajor $183 - $3,745 51%
Humanamajor $244 - $3,994 68%
Ambetter (Centene) $98 - $1,678 27%
Amerigroup $82 - $2,397 23%
Health Net $183 - $3,994 51%
Healthcare Highways $198 - $3,994 56%
Molina $305 - $2,397 86%
+ 13 smaller / regional plans $82 - $4,244
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals