CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,601
Cash Discount Price: $4,893
vs. Medicare Baseline: 12.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Texas Childrens Hospital North Austin Campus is $4,601. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,893. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.91x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$4,893

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,601

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: $4,893 (1373%)

Insurance Median: $4,601 (1291%)

Cash: $4,893 (1373% of Medicare)

Ins. Median: $4,601 (1291% 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 1291% of the Medicare baseline (a markup of 1191%). 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
Superior Chip	$312 - $328	88%
Driscoll Children'S Health Plan Mcd	$343	96%
First Care Health Plan	$1,972 - $4,674	553%
UnitedHealthcare	$1,972 - $4,674	553%
Molina Mcd	$2,191	615%
Blue Cross Blue Shield	$2,556 - $4,601	717%
Community Health Choice	$2,578 - $4,674	723%
Community First Health Plan Mcd	$2,921	820%
Cook Children'S Health Plan	$2,921	820%
Cigna	$4,163 - $4,674	1168%
Aetna	$4,674	1311%
Kelseycare	$4,747	1332%
Healthsmart	$5,112	1434%
Evolutions Healthcare	$5,477	1537%
First Health	$6,427 - $6,938	1803%
Multiplan	$6,573	1844%
Galaxy Health Network	$6,938	1947%

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 $4,893.
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 Texas Childrens Hospital North Austin Campus 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.