CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medical City Alliance

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $324
  • Cash Discount Price: $13,203
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medical City Alliance is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,203. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.33x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.
Cash / Self-Pay
$13,203

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $13,203 (5416%)
Insurance Median: $324 (133%)
Cash: $13,203 (5416% of Medicare)
Ins. Median: $324 (133% 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.

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
Amerigroup $188 77%
Cook Childrens Health Plan $188 77%
Parkland Community Health Plan $188 77%
United $188 - $2,997 77%
Cigna $198 - $1,848 81%
Aetna $203 - $9,599 83%
Molina $207 - $211 85%
Humana $235 - $456 96%
Blue Cross Blue Shield $294 - $5,862 121%
Superior Health Plan $924 379%
Healthcare Highways $4,463 1831%
Healthsmart Preferred Care $9,902 4062%
Independent Medical Systems $13,203 5416%
National Healthcare Solutions $13,203 5416%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3101 North Tarrant Parkway, Fort Worth, TX 76177
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals