CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Methodist Celina Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $415
  • Cash Discount Price: $4,335
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Methodist Celina Medical Center is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,335. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.16x the Medicare baseline. Located in 1500 S Dallas Parkway, Celina, TX.
Cash / Self-Pay
$4,335

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $4,335 (1216%)
Insurance Median: $415 (116%)
Cash: $4,335 (1216% of Medicare)
Ins. Median: $415 (116% 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.

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
Champva [1000] $343 96%
Medicaid / KanCare $343 96%
Tricare $343 96%
Triwest Wps [8010] $343 96%
Veterans Administration [9001] $343 96%
Aetna $350 - $568 98%
Blue Cross Blue Shield $350 - $1,482 98%
Mcs Advantage, Inc Classicare [7021] $350 98%
Medicare (plans) $350 - $375 98%
UnitedHealthcare $350 - $371 98%
Ust Health Proof [1005] $350 98%
Wellcare [7016] $350 98%
American Health Advantage Of Texas [7099] $368 103%
Cigna $368 - $371 103%
Humana $371 104%
Southwestern Health Resources Swhr [7015] $371 104%
Oscar Insurance Company [2057] $456 128%
Molina [3017] $508 143%
Wellpoint Marketplace Exchange [3071] $543 152%
Kempton Group Administrators, Tower Extrusions [3061] $561 157%
90 Degree Benefit [3057] $578 162%
Allied National [2031] $578 162%
Entrust/90 Degree [2058] $578 162%
Department Of Labor [8004] $701 197%
Evry Health [1013] $701 197%
Generic Workers Comp Tx Non Par [9010] $701 197%
Generic Workers Comp Tx Par [8002] $701 197%
Generic Workers Comp Tx Par [9011] $701 197%
Sana Benefits [3069] $701 197%
Velocity [3070] $701 197%
Health Plans Inc [5017] $876 246%
Medical Cost Containment Professionals [3059] $876 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 S Dallas Parkway, Celina, TX 75009
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals