CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: PAM Rehabilitation Hospital of Victoria

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $7,200
  • Cash Discount Price: $9,599
  • vs. Medicare Baseline: 20.20x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at PAM Rehabilitation Hospital of Victoria is $7,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,599. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 20.20x the Medicare baseline. Located in 101 James Coleman Dr, Victoria, TX.
Cash / Self-Pay
$9,599

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,200

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: $9,599 (2693%)
Insurance Median: $7,200 (2020%)
Cash: $9,599 (2693% of Medicare)
Ins. Median: $7,200 (2020% 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 2020% of the Medicare baseline (a markup of 1920%). 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
America'S Choice Provider Network $6,720 1885%
Provider Network Of America $7,200 2020%
Quik Trip $7,200 2020%
Usa Managed Care Organization $7,200 2020%
Velocity Provider Ppo Network $7,200 2020%
Multiplan/Phcs $7,680 2155%
Prime Health Services $8,160 2289%
Medincrease $8,640 2424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 James Coleman Dr, Victoria, TX 77904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL