CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Luke's Hospital at the Vintage

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,159
  • Cash Discount Price: $6,736
  • vs. Medicare Baseline: 3.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Luke's Hospital at the Vintage is $1,159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,736. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.25x the Medicare baseline. Located in 20171 Chasewood Park Drive, Houston, TX.
Cash / Self-Pay
$6,736

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,159

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: $6,736 (1890%)
Insurance Median: $1,159 (325%)
Cash: $6,736 (1890% of Medicare)
Ins. Median: $1,159 (325% 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 325% of the Medicare baseline (a markup of 225%). 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
Renaissance $258 72%
Wellpoint $312 - $537 88%
UnitedHealthcare $318 - $15,902 89%
United $324 - $9,046 91%
Blue Cross Blue Shield $328 - $1,661 92%
Cigna $358 - $13,473 100%
Humana $358 - $12,511 100%
Kelsey $358 100%
Selectcare $358 100%
Aetna $365 - $13,088 102%
Chc $366 - $10,586 103%
Amerivantage $368 103%
Devoted $383 107%
Scanhealth $383 107%
Kindred $393 110%
Kelseycare $483 - $1,155 136%
Employer Direct $501 141%
Community Health Choice $537 151%
Superior Health Plan $537 151%
Bright Health $616 173%
Healthsmart $900 - $13,473 253%
Nx Health $1,163 326%
Tchp $1,540 - $2,063 432%
Tchpchip $6,736 - $8,276 1890%
Texastruechoice $10,586 2970%
Coventry $12,511 3510%
First Health $12,511 3510%
Interlink $13,473 3780%
Multiplan $14,435 4050%
USA Health Network $16,360 4590%
Mhealth Network $19,247 5400%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20171 Chasewood Park Drive, Houston, TX 77070
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals