CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Seton Medical Center Harker Heights

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,802
Cash Discount Price: $719
vs. Medicare Baseline: 7.86x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Seton Medical Center Harker Heights is $2,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $719. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.86x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$719

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,802

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: $719 (202%)

Insurance Median: $2,802 (786%)

Cash: $719 (202% of Medicare)

Ins. Median: $2,802 (786% 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 786% of the Medicare baseline (a markup of 686%). 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]	$1,293	363%
UnitedHealthcare	$1,293 - $2,802	363%
Aetna	$1,329 - $4,124	373%
Healthcare Highways [2210]	$2,802	786%
Medicaid / KanCare	$2,802 - $7,703	786%
Oncology Patient Assistance Programs [2295]	$2,802	786%
Selecthealth [3740]	$2,802	786%
Web Tpa [2115]	$2,802 - $5,748	786%
Humana	$4,702	1319%
Blue Cross Blue Shield	$5,317	1492%
First Care Commercial [1371]	$5,389	1512%
Allied Benefit Systems Inc [1030]	$5,748	1613%
Cigna	$6,222	1746%

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 $719.
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 Seton Medical Center Harker Heights 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.