CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Seton Medical Center Harker Heights

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,899
Cash Discount Price: $487
vs. Medicare Baseline: 7.79x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Seton Medical Center Harker Heights is $1,899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.79x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$487

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,899

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $487 (200%)

Insurance Median: $1,899 (779%)

Cash: $487 (200% of Medicare)

Ins. Median: $1,899 (779% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 779% of the Medicare baseline (a markup of 679%). 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
Healthscope Benefits [2290]	$876	359%
UnitedHealthcare	$876 - $1,899	359%
Aetna	$901 - $2,795	370%
Healthcare Highways [2210]	$1,899	779%
Medicaid / KanCare	$1,899 - $5,220	779%
Oncology Patient Assistance Programs [2295]	$1,899	779%
Selecthealth [3740]	$1,899	779%
Web Tpa [2115]	$1,899 - $3,895	779%
Humana	$3,186	1307%
Blue Cross Blue Shield	$3,603	1478%
First Care Commercial [1371]	$3,652	1498%
Allied Benefit Systems Inc [1030]	$3,895	1598%
Cigna	$4,217	1730%

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 $487.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Seton Medical Center Harker Heights is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.