CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Luke's Patients Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $734
  • Cash Discount Price: $5,001
  • vs. Medicare Baseline: 2.06x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Luke's Patients Medical Center is $734. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,001. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.06x the Medicare baseline. Located in 4600 East Sam Houston Parkway South, Pasadena, TX.
Cash / Self-Pay
$5,001

Average discount available for prompt cash payment at this facility.

Insurance Median
$734

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: $5,001 (1403%)
Insurance Median: $734 (206%)
Cash: $5,001 (1403% of Medicare)
Ins. Median: $734 (206% 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 206% of the Medicare baseline (a markup of 106%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Chc $296 83%
Tchp $296 83%
Wellpoint $312 - $537 88%
United $318 - $2,156 89%
Blue Cross Blue Shield $358 - $1,661 100%
Cigna $358 - $10,001 100%
Humana $358 - $800 100%
Kelsey $358 100%
Aetna $365 - $9,715 102%
Amerivantage $368 103%
Devoted $383 107%
Scanhealth $383 107%
Ambetter / Centene $537 151%
Community Health Choice $537 151%
Bright Health $616 173%
Coventry $9,287 2606%
First Health $9,287 2606%
Healthsmart $10,001 2806%
Multiplan $10,716 3006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4600 East Sam Houston Parkway South, Pasadena, TX 77505
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals