CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Pampa Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $332
  • Cash Discount Price: $1,353
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Pampa Regional Medical Center is $332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,353. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.93x the Medicare baseline. Located in 1 Medical Plaza, Pampa, TX.
Cash / Self-Pay
$1,353

Average discount available for prompt cash payment at this facility.

Insurance Median
$332

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: $1,353 (380%)
Insurance Median: $332 (93%)
Cash: $1,353 (380% of Medicare)
Ins. Median: $332 (93% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $139 39%
Blue Cross Blue Shield $142 - $1,715 40%
Texas Blue Bonnet Health Plan $142 - $234 40%
Tricare $142 40%
Molina $149 - $666 42%
Provider Partners Health Plan $149 42%
Imperial Insurance Companies $150 42%
Employer Direct Healthcare $199 56%
Corporate Remedies (Wc) $213 60%
UnitedHealthcare $213 - $468 60%
Medicaid / KanCare $462 130%
Amerigroup $476 134%
Superior Health Plan $476 - $628 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Plaza, Pampa, TX 79065
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals