CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,072
Cash Discount Price: $6,227
vs. Medicare Baseline: 8.62x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cook Childrens Medical Center Prosper is $3,072. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,227. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.62x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$6,227

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,072

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: $6,227 (1747%)

Insurance Median: $3,072 (862%)

Cash: $6,227 (1747% of Medicare)

Ins. Median: $3,072 (862% 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 862% of the Medicare baseline (a markup of 762%). 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
Aetna	$278 - $7,057	78%
Beacon	$464 - $4,483	130%
El Paso Health First	$464 - $4,483	130%
Health Plan W. Uhrip	$464	130%
Health Plan W/O Uhrip	$464 - $4,483	130%
Tx Children Health	$464 - $4,483	130%
Wellpoint	$487	137%
Blue Cross Blue Shield	$501 - $7,472	141%
Superior Health	$501	141%
Firstcare	$511 - $6,642	143%
United Community	$511 - $3,072	143%
UnitedHealthcare	$3,653 - $7,057	1025%
S&W Health	$6,974	1957%
Cigna	$7,057	1980%
Healthscope	$7,057	1980%
Imagine Health	$7,057	1980%
Humana	$7,223 - $7,306	2026%
Multiplan	$7,223	2026%
First Health	$7,306	2050%
Galaxy Health	$7,472	2096%
Healthsmart	$7,472	2096%
Usamco	$7,638	2143%

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 $6,227.
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 Cook Childrens Medical Center Prosper 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.