CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Canyon Vista Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $283
  • Cash Discount Price: $1,836
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Canyon Vista Medical Center is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,836. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 5700 East Highway 90, Sierra Vista, AZ.
Cash / Self-Pay
$1,836

Average discount available for prompt cash payment at this facility.

Insurance Median
$283

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: $1,836 (753%)
Insurance Median: $283 (116%)
Cash: $1,836 (753% of Medicare)
Ins. Median: $283 (116% 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
University Phyicians Inc $221 91%
Medicare (plans) $227 93%
Azch-Complete Care Plan $233 96%
Golden Rule Insurance Company $250 103%
Humana $273 112%
Wellcare By Allwell $273 112%
Wellmed Medical Management, Inc. $276 113%
Aetna $281 115%
UnitedHealthcare $284 - $1,988 117%
Ambetter / Centene $325 133%
Meritain Health $631 259%
Luminare Health $2,709 1111%
Blue Cross Blue Shield $2,952 1211%
Summit Administrators, Inc. $2,952 1211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5700 East Highway 90, Sierra Vista, AZ 85635
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals