CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Banner Heart Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$372

about 1.0× the $356 Medicare rate · typically $372–$476

modeled estimate · not a bill or quote

What this hospital charges insurers

$381

About the fair price

about $9 over the fair price · 1.1× Medicare

Medicare pays $356 Fair price $372 This hospital $381 Cash price $510 Hospital's list price $3,167

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $92 Priciest $381

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $372 (about 1.0× the $356 Medicare rate). Banner Heart Hospital charges insurers about $381, or about $510 in cash — about the fair price. Located in Mesa, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$381 - $1,864	107%
Blue Cross Blue Shieldmajor	$381 - $1,351	107%
Aetnamajor	$341 - $1,669	96%
Cignamajor	$381 - $1,126	107%
Humanamajor	$381 - $392	107%
Kaiser Permanentemajor	$381	107%
Banner Health	$242 - $381	68%
Devoted Health	$400	112%
Health Net	$242 - $563	68%
Oscar Health	$628	176%
UPMC Health Plan	$381	107%
+ 14 smaller / regional plans	$242 - $2,375

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 510), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Banner Heart Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Heart Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.