CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Hermann Houston Physicians Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $393
  • Cash Discount Price: $3,504
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Hermann Houston Physicians Hospital is $393. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,504. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.10x the Medicare baseline. Located in 333 N Texas Avenue, Suite 1000, Webster, TX.
Cash / Self-Pay
$3,504

Average discount available for prompt cash payment at this facility.

Insurance Median
$393

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: $3,504 (983%)
Insurance Median: $393 (110%)
Cash: $3,504 (983% of Medicare)
Ins. Median: $393 (110% 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.

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
Aetna $256 - $58,514 72%
Wellcare $358 100%
Pffs $358 100%
Cigna $358 - $68,796 100%
Devoted Health $358 - $1,890 100%
Kelsey-Seybold $358 100%
Humana $358 - $393 100%
Kelseycare Advantage $358 100%
Gpa $358 100%
Unicare-McR Replacement $358 100%
Health Spring $358 100%
Medicare (plans) $358 100%
Advantra Freedom $358 100%
Aarp $358 100%
Blue Cross Blue Shield $358 - $393 100%
Texan Plus $358 100%
United Teachers Association $358 100%
Advantra Freedom McR Replace $358 100%
Tricare $358 - $2,362 100%
Banker Life and Casualty $358 100%
Coventry Health Care - McR $358 100%
UnitedHealthcare $358 - $393 100%
Other $393 110%
Champva $393 110%
Texas Health Spring $393 110%
American National Insurance $6,615 1856%
Health Smart $6,615 1856%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 N Texas Avenue, Suite 1000, Webster, TX 77598
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals