CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Banner Gateway Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $525
  • Cash Discount Price: $415
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Banner Gateway Medical Center is $525. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $415. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.47x the Medicare baseline. Located in 1900 North Higley Road, Gilbert, AZ.
Cash / Self-Pay
$415

Average discount available for prompt cash payment at this facility.

Insurance Median
$525

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: $415 (116%)
Insurance Median: $525 (147%)
Cash: $415 (116% of Medicare)
Ins. Median: $525 (147% 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.

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 $242 - $381 68%
Banner University Health Plan $242 - $381 68%
Health Choice Arizona, Inc. $242 - $571 68%
Health Net $242 - $563 68%
Mercy Care $242 - $381 68%
Aetna $341 - $1,669 96%
Banner Health $381 107%
Blue Cross Blue Shield $381 - $1,611 107%
Care 1St $381 107%
Cigna $381 - $1,238 107%
Gila River Health Care Corporation $381 107%
Humana $381 - $392 107%
Kaiser Foundation Health Plan $381 107%
Triwest Healthcare Alliance Corp - Va Ccn $381 107%
UnitedHealthcare $381 - $1,864 107%
Upmc Health Plan $381 107%
Wellpoint (Fka Amerigroup) $381 107%
Carekin $400 112%
Devoted Health Services $400 112%
Arizona Priority Care $419 118%
Gold Kidney Health Plan $419 118%
Oscar Health Plan $628 176%
Hospice Of The Valley $1,108 311%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $1,425 400%
Plotkin Health $1,425 400%
Quiktrip Corporation $1,710 480%
Arizona Medical Network $2,217 622%
Provider Network Of America $2,375 666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 North Higley Road, Gilbert, AZ 85234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals