CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Northwest Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $892
  • Cash Discount Price: $4,275
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Northwest Medical Center is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,275. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.50x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$4,275

Average discount available for prompt cash payment at this facility.

Insurance Median
$892

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: $4,275 (1199%)
Insurance Median: $892 (250%)
Cash: $4,275 (1199% of Medicare)
Ins. Median: $892 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Medicaid / KanCare $239 - $256 67%
Magellan $251 - $385 70%
Aetna $276 - $6,458 77%
Veterans Eval Services $348 98%
Cigna $366 - $1,055 103%
Humana $366 103%
Medicare (plans) $366 103%
Node Caremore Mcr Adv $366 103%
Scan Health Plan $366 103%
UnitedHealthcare $366 - $7,175 103%
Pascua Yaqui Tribe $369 104%
Blue Cross Blue Shield $372 - $2,152 104%
Department Of Veterans Affairs $372 104%
Node Non Par Hospice Agree $372 104%
Node Va $372 104%
Tricare $372 104%
Triwest $372 104%
Fresenius Health $374 105%
Node Clover Health Mcr Adv $376 105%
Node Devoted Health Mcr Adv $377 106%
Node Banner Mcr Adv $385 108%
Wellcare $385 108%
Node Us Dept Of Labor $465 130%
Ambetter / Centene $525 147%
Node Health Choice Health Exchange $547 153%
Health Net $590 166%
Node Fusion Network $670 188%
Node J Allen Inmate Health Svcs $707 198%
Seven Corners $856 240%
Self Pay $3,403 - $5,166 955%
First Health Coventry $7,445 - $7,534 2089%
Coventry Medical Center $8,509 - $8,610 2387%
Multiplan $11,770 - $11,910 3302%
Prime Health $12,054 - $12,198 3382%
Healthsmart $12,763 - $12,915 3581%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals