CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Dell Children's Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,168
Cash Discount Price: $5,904
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Dell Children's Medical Center is $1,168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,904. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.28x the Medicare baseline. Located in 4900 Mueller Blvd, Austin, TX.

Cash / Self-Pay

$5,904

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,168

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: $5,904 (1656%)

Insurance Median: $1,168 (328%)

Cash: $5,904 (1656% of Medicare)

Ins. Median: $1,168 (328% 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 328% of the Medicare baseline (a markup of 228%). 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	$229 - $301	64%
Blue Cross Blue Shield	$253 - $1,707	71%
Dell Chip/Chip Perinate	$253 - $294	71%
Dell Star	$253 - $294	71%
UnitedHealthcare	$253 - $294	71%
Wellpoint Star	$253 - $294	71%
Wellpoint Star Plus	$253 - $318	71%
Ambetter / Centene	$294 - $318	82%
Wellpoint Chip/Chip Perinate	$294 - $318	82%
Wellpoint Star Kids	$318	89%
Tricare	$336	94%
Humana	$435	122%
Seton Performance Plus	$991	278%
Aetna	$1,345 - $2,375	377%
Cigna	$1,610	452%
Covenant Health	$2,375	666%
Superior Star	$2,918 - $3,830	819%
Superior Star Foster	$2,918 - $3,830	819%
Superior Star Kids	$2,918 - $3,830	819%
Superior Star Plus	$2,918 - $3,830	819%
Superior Chip/Chip Perinate	$3,282 - $4,309	921%

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 $5,904.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.