CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Coryell Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,825
Cash Discount Price: $1,832
vs. Medicare Baseline: 11.59x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Coryell Memorial Hospital is $2,825. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,832. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.59x the Medicare baseline. Located in 1507 W Main Street, Gatesville, TX.

Cash / Self-Pay

$1,832

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,825

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: $1,832 (752%)

Insurance Median: $2,825 (1159%)

Cash: $1,832 (752% of Medicare)

Ins. Median: $2,825 (1159% 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 1159% of the Medicare baseline (a markup of 1059%). 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
Blue Cross Blue Shield	$2,352 - $2,443	965%
Aetna	$2,596	1065%
Cigna	$2,596	1065%
Coventry	$2,596	1065%
Healthrisk Resource Group	$2,596	1065%
Three Rivers	$2,596	1065%
UnitedHealthcare	$3,054	1253%
Humana	$3,085	1266%
Multiplan	$3,085	1266%
Scott And White	$3,085	1266%
Superior	$3,085	1266%
Triwest	$3,085	1266%
Firstcare	$4,627	1898%

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 $1,832.
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 Coryell Memorial 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.