CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,586
Cash Discount Price: $3,525
vs. Medicare Baseline: 4.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Baylor Scott & White Medical Center - Marble Falls is $1,586. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,525. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.45x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.

Cash / Self-Pay

$3,525

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,586

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: $3,525 (989%)

Insurance Median: $1,586 (445%)

Cash: $3,525 (989% of Medicare)

Ins. Median: $1,586 (445% 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 445% of the Medicare baseline (a markup of 345%). 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
Superior Health Plan	$318 - $339	89%
Baylor Scott & White Health Plan	$322 - $1,586	90%
Humana	$339 - $4,112	95%
Triwest	$339	95%
Corvel	$355	100%
Prime Health Services	$355	100%
American Health Plan	$356	100%
Blue Cross Blue Shield	$356 - $1,825	100%
Healthspring	$356	100%
Procare Advantage	$356	100%
UnitedHealthcare	$390 - $1,550	109%
Sedgwick	$507	142%
Cigna	$1,466 - $1,725	411%
University Of Mary Hardin-Baylor	$1,725	484%
Aetna	$3,231	906%
Midcoast	$3,231	906%
Quiktrip	$3,231	906%
Independent Medical System	$3,525	989%
Curative	$3,819	1071%
First Health	$4,112	1154%
Healthsmart	$4,112 - $4,406	1154%
Bluebell Creameries	$4,406	1236%
Private Health Care System	$4,406	1236%
Three Rivers	$5,287	1483%

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 $3,525.
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 Baylor Scott & White Medical Center - Marble Falls 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.