CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Graham Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $900
Cash Discount Price: $1,438
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Graham Regional Medical Center is $900. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,438. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.53x the Medicare baseline. Located in 1301 Montgomery Road, Graham, TX.

Cash / Self-Pay

$1,438

Average discount available for prompt cash payment at this facility.

Insurance Median

$900

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: $1,438 (403%)

Insurance Median: $900 (253%)

Cash: $1,438 (403% of Medicare)

Ins. Median: $900 (253% 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 253% of the Medicare baseline (a markup of 153%). 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
Amerigroup	$360 - $503	101%
Choicecare Network	$360 - $503	101%
Superior Healthplan	$360 - $503	101%
Wellpoint	$486 - $679	136%
Aetna	$780 - $1,089	219%
Cigna	$780 - $1,089	219%
Blue Cross Blue Shield	$816 - $1,257	229%
Three Rivers Provider Network	$1,020 - $1,425	286%
Health Advantage Network	$1,080 - $1,508	303%
Healthsmart Preferred Care	$1,080 - $1,508	303%
UnitedHealthcare	$1,405	394%
Curative	$3,000 - $4,190	842%

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 $1,438.
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 Graham Regional Medical Center 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.