CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Warm Springs Rehabilitation Hospital of San Antonio

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $6,593
  • Cash Discount Price: $8,791
  • vs. Medicare Baseline: 18.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Warm Springs Rehabilitation Hospital of San Antonio is $6,593. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,791. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 18.50x the Medicare baseline. Located in 5101 Medical Dr, San Antonio, TX.
Cash / Self-Pay
$8,791

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,593

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: $8,791 (2466%)
Insurance Median: $6,593 (1850%)
Cash: $8,791 (2466% of Medicare)
Ins. Median: $6,593 (1850% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1850% of the Medicare baseline (a markup of 1750%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Wellpoint (Amerigroup) $318 89%
Molina Healthcare $326 91%
Community First Health Plans $500 140%
America'S Choice Provider Network $6,153 1726%
Galaxy Health $6,593 1850%
Provider Network Of America $6,593 1850%
Quik Trip $6,593 1850%
Usa Managed Care Organization $6,593 1850%
Velocity Provider Ppo Network $6,593 1850%
Multiplan/Phcs $7,033 1973%
Three Rivers $7,033 1973%
Prime Health Services $7,472 2096%
Medincrease $7,912 2220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5101 Medical Dr, San Antonio, TX 78229
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL