CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Seymour Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$621
about 1.7× the $356 Medicare rate · typically $232–$1,680
modeled estimate · not a bill or quote
What this hospital charges insurers
$657
About the fair price
about $36 over the fair price · 1.8× Medicare
Medicare pays $356 Fair price $621 This hospital $657 Cash price $1,576 Hospital's list price $2,251

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 $657

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $621 (about 1.7× the $356 Medicare rate). Seymour Hospital charges insurers about $657, or about $1,576 in cash — about the fair price. Located in Seymour, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $1,801 505%
Aetnamajor $357 - $2,251 100%
Cignamajor $1,801 505%
Humanamajor $1,463 410%
GEHA $850 238%
WellMed $1,463 410%
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Stadium Drive, Seymour, TX 76380
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals