CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,551
  • Cash Discount Price: $3,557
  • vs. Medicare Baseline: 4.35x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Baylor Scott & White Medical Center- Austin is $1,551. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,557. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.35x the Medicare baseline. Located in 5245 W Us 290, Austin, TX.
Cash / Self-Pay
$3,557

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,551

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: $3,557 (998%)
Insurance Median: $1,551 (435%)
Cash: $3,557 (998% of Medicare)
Ins. Median: $1,551 (435% 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 435% of the Medicare baseline (a markup of 335%). 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
Superior Health Plan $318 - $344 89%
Baylor Scott & White Health Plan $327 - $1,586 92%
Humana $344 - $4,150 97%
Triwest $344 97%
American Health Plan $361 101%
Healthspring $361 101%
Procare Advantage $361 101%
UnitedHealthcare $396 - $1,939 111%
Cigna $1,466 - $1,725 411%
Blue Cross Blue Shield $1,497 - $1,825 420%
University Of Mary Hardin-Baylor $1,725 484%
Aetna $3,261 915%
Midcoast $3,261 915%
Quiktrip $3,261 915%
Curative $3,854 1081%
First Health $4,150 1164%
Private Health Care System $4,447 1248%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5245 W Us 290, Austin, TX 78735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals