CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Banner-University Medical Center South Campus

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $341
  • Cash Discount Price: $335
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Banner-University Medical Center South Campus is $341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.40x the Medicare baseline. Located in 2800 East Ajo Way, Tucson, AZ.
Cash / Self-Pay
$335

Average discount available for prompt cash payment at this facility.

Insurance Median
$341

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: $335 (137%)
Insurance Median: $341 (140%)
Cash: $335 (137% of Medicare)
Ins. Median: $341 (140% 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
Arizona Physicians Ipa $167 - $258 69%
Banner University Health Plan $167 - $258 69%
Health Choice Arizona, Inc. $167 - $386 69%
Health Net $167 - $381 69%
Mercy Care $167 - $258 69%
Aetna $258 - $1,391 106%
Banner Health $258 106%
Blue Cross Blue Shield $258 - $645 106%
Care 1St $258 106%
Cigna $258 - $908 106%
Gila River Health Care Corporation $258 106%
Kaiser Foundation Health Plan $258 106%
Triwest Healthcare Alliance Corp - Va Ccn $258 106%
UnitedHealthcare $258 - $1,165 106%
Upmc Health Plan $258 106%
Wellpoint $258 106%
Humana $265 109%
Carelon $271 111%
Devoted Health Services $271 111%
Arizona Priority Care $283 116%
Gold Kidney Health Plan $283 116%
Naphcare $348 143%
Oscar Health Plan $425 174%
University Of Arizona (Kasser Medical Treatment Center) $924 379%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $1,188 487%
Plotkin Health $1,188 487%
Quiktrip Corporation $1,425 585%
Provider Network Of America $1,979 812%
Arizona Medical Network $2,111 866%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2800 East Ajo Way, Tucson, AZ 85713
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals