CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Methodist Midlothian Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $324
  • Cash Discount Price: $3,770
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Methodist Midlothian Medical Center is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,770. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.33x the Medicare baseline. Located in 1201 E Highway 287, Midlothian, TX.
Cash / Self-Pay
$3,770

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: $3,770 (1547%)
Insurance Median: $324 (133%)
Cash: $3,770 (1547% 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
UnitedHealthcare $179 - $256 73%
Aetna $240 - $388 98%
Blue Cross Blue Shield $240 - $254 98%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $240 98%
Medicare (plans) $240 - $256 98%
Ust Health Proof [1005] $240 98%
Wellcare [7016] $240 98%
American Health Advantage Of Texas [7099] $252 103%
Cigna $252 - $443 103%
Globalhealth [1003] $252 103%
Procare Advantage [7018] $252 103%
Humana $254 104%
Southwestern Health Resources Swhr [7015] $254 104%
Provider Partners Health Plan [7025] $259 106%
Alternative Service Concepts [8005] $300 123%
Oscar Insurance Company [2057] $312 128%
Bright Healthcare [2222] $336 138%
Molina [3017] $348 143%
Wellpoint Marketplace Exchange [3071] $372 153%
Kempton Group Administrators, Tower Extrusions [3061] $384 158%
90 Degree Benefit [3057] $395 162%
Allied National [2031] $395 162%
Entrust/90 Degree [2058] $395 162%
Ambetter / Centene $410 168%
Imperial Insurance Companies [3073] $431 177%
Web Tpa [3049] $443 182%
Department Of Labor [8004] $479 196%
Evry Health [1013] $479 196%
Generic Workers Comp Tx Non Par [9010] $479 196%
Generic Workers Comp Tx Par [8002] $479 196%
Generic Workers Comp Tx Par [9011] $479 196%
Sana Benefits [3069] $479 196%
Tristar Risk Management [8006] $479 196%
Velocity [3070] $479 196%
Friday Health Plan [2061] $500 205%
Health Plans Inc [5017] $599 246%
Medical Cost Containment Professionals [3059] $599 246%
Dart Member Care [3039] $647 265%
Healthscope Benefits [2052] $647 265%
Healthscope Benefits [3063] $647 265%
Medicaid / KanCare $770 316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 E Highway 287, Midlothian, TX 76065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals