CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Stephens Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$646

about 1.8× the $356 Medicare rate · typically $230–$1,770

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,184

Well above the fair price

about $538 over the fair price · 3.3× Medicare

Medicare pays $356 Fair price $646 This hospital $1,184 Cash price $2,005 Hospital's list price $2,864

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $131 Priciest $1,184

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $646 (about 1.8× the $356 Medicare rate). Stephens Memorial Hospital charges insurers about $1,184, or about $2,005 in cash — well above the fair price. Located in Breckenridge, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $646. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$464 - $1,031	130%
Blue Cross Blue Shieldmajor	$1,184 - $3,440	332%
Aetnamajor	$464 - $3,612	130%
Cignamajor	$3,206	899%
Humanamajor	$1,548	434%
+ 1 smaller / regional plan	$1,566

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,005), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Stephens Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Stephens Memorial Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.