CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Northwest Medical Center Sahuarita

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $377
  • Cash Discount Price: $4,057
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Northwest Medical Center Sahuarita is $377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,057. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.06x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$4,057

Average discount available for prompt cash payment at this facility.

Insurance Median
$377

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: $4,057 (1138%)
Insurance Median: $377 (106%)
Cash: $4,057 (1138% of Medicare)
Ins. Median: $377 (106% 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
Medicaid / KanCare $239 - $256 67%
Mercy Care $239 - $366 67%
Aetna $276 - $366 77%
Blue Cross Blue Shield $366 - $1,923 103%
Cigna $366 - $1,055 103%
Humana $366 103%
Medicare (plans) $366 103%
Node Caremore Mcr Adv $366 103%
Node Mercy Care Mcr Adv $366 103%
UnitedHealthcare $366 - $829 103%
Department Of Veterans Affairs $372 104%
Node Champva $372 104%
Node Non Par Hospice Agree $372 104%
Node Triwest $372 - $399 104%
Node Va $372 104%
Tricare $372 104%
Node Clover Health Mcr Adv $376 105%
Node Devoted Health Mcr Adv $377 106%
Banner Mcr Adv $385 108%
Node Banner Mcr Adv $385 108%
Node Wellcare Mcr Adv $385 108%
Node Us Dept Of Labor $465 130%
Ambetter / Centene $525 147%
Node Health Choice Health Exchange $555 156%
Node Fusion Network $670 188%
Node J Allen Inmate Health Svcs $707 198%
Self Pay $2,553 - $5,596 716%
Coventry Work Comp Al $8,509 - $8,610 2387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals