CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Verde Valley Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $327
  • Cash Discount Price: $2,452
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Verde Valley Medical Center is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,452. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.34x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$2,452

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

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: $2,452 (1006%)
Insurance Median: $327 (134%)
Cash: $2,452 (1006% of Medicare)
Ins. Median: $327 (134% 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 $151 - $8,605 62%
Devoted $176 - $282 72%
Health Choice $176 - $523 72%
University Of Arizona Health Plans $176 - $295 72%
Va Pccc Triwest $179 - $273 73%
Mercy Care Rhba $223 91%
Health Choice Integrated Care $227 93%
Ahcccs $231 95%
Ahcccs Other $232 95%
Care 1St $232 95%
Health Choice Arizona $232 95%
Health Net Of Arizona $232 95%
Mercy Care $232 95%
Nhi Out Of State Ahcccs $232 95%
Vvmc Jail $232 95%
Self Pay $252 - $9,303 103%
Self-Pay 50% Discount $252 - $4,652 103%
Health Net Federal $255 105%
Aetna $268 - $8,066 110%
Community Health Center Of Yavapai $268 110%
Humana $268 110%
Medicare (plans) $268 110%
Mercy Care Advantage $268 110%
Snf Vvmc $268 110%
Vvmc 30/70 $268 110%
Wellcare $268 110%
Wellcare By Allwell $268 110%
Blue Cross Blue Shield $293 - $6,773 120%
Ambetter / Centene $308 126%
Naphcare $313 - $545 128%
Gold Kidney $322 132%
Workers Comp $327 - $6,047 134%
Copperpoint $367 - $6,773 151%
Pnoa-Provider Network Of America $409 168%
Cigna $453 - $8,373 186%
Vvmc 90/10 $453 - $8,373 186%
Auto Insurance $5,000 2051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals