CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Canyon Vista Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $476
Cash Discount Price: $2,754
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Canyon Vista Medical Center is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,754. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.34x the Medicare baseline. Located in 5700 East Highway 90, Sierra Vista, AZ.

Cash / Self-Pay

$2,754

Average discount available for prompt cash payment at this facility.

Insurance Median

$476

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: $2,754 (773%)

Insurance Median: $476 (134%)

Cash: $2,754 (773% of Medicare)

Ins. Median: $476 (134% 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.

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
University Phyicians Inc	$321	90%
Medicare (plans)	$336	94%
Arizona Physicians Ipa Inc	$338 - $476	95%
Azch-Complete Care Plan	$338	95%
Wellmed Medical Management, Inc.	$408	114%
Aetna	$416	117%
UnitedHealthcare	$420 - $2,981	118%
Humana	$428	120%
Wellcare By Allwell	$429	120%
Ambetter / Centene	$510	143%
Meritain Health	$2,112	593%
Government Employees Health Association	$2,981	836%
Cigna	$4,062	1140%
Blue Cross Blue Shield	$4,426	1242%
Luminare Health	$4,750	1333%

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 $2,754.
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 Canyon Vista 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.