CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Dell Children's Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $780
Cash Discount Price: $4,386
vs. Medicare Baseline: 3.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Dell Children's Medical Center is $780. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,386. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.20x the Medicare baseline. Located in 4900 Mueller Blvd, Austin, TX.

Cash / Self-Pay

$4,386

Average discount available for prompt cash payment at this facility.

Insurance Median

$780

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: $4,386 (1799%)

Insurance Median: $780 (320%)

Cash: $4,386 (1799% of Medicare)

Ins. Median: $780 (320% 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 320% of the Medicare baseline (a markup of 220%). 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
Champva	$118 - $194	48%
Tricare	$185	76%
Ambetter / Centene	$190	78%
Blue Cross Blue Shield	$190 - $1,042	78%
Dell Chip/Chip Perinate	$190	78%
Dell Star	$190	78%
UnitedHealthcare	$190	78%
Wellpoint Chip/Chip Perinate	$190	78%
Wellpoint Star	$190	78%
Wellpoint Star Kids	$190	78%
Wellpoint Star Plus	$190	78%
Humana	$200	82%
Seton Performance Plus	$625	256%
Aetna	$780 - $1,345	320%
Covenant Health	$1,093	448%
Cigna	$1,610	660%
Superior Star	$2,302 - $2,711	944%
Superior Star Foster	$2,302 - $2,711	944%
Superior Star Kids	$2,302 - $2,711	944%
Superior Star Plus	$2,302 - $2,711	944%
Superior Chip/Chip Perinate	$2,589 - $3,050	1062%

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 $4,386.
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 Dell Children's Medical Center 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.