CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Dignity Health East Valley Rehabilitation Hospital-Gilbert

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $7,749
  • Cash Discount Price: $7,749
  • vs. Medicare Baseline: 21.74x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Dignity Health East Valley Rehabilitation Hospital-Gilbert is $7,749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,749. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 21.74x the Medicare baseline. Located in 1850 S San Tan Village Pkwy, Gilbert, AZ.
Cash / Self-Pay
$7,749

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,749

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: $7,749 (2174%)
Insurance Median: $7,749 (2174%)
Cash: $7,749 (2174% of Medicare)
Ins. Median: $7,749 (2174% 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 2174% of the Medicare baseline (a markup of 2074%). 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
Aetna $7,749 2174%
Ahcccs $7,749 2174%
Arizona Care Network $7,749 2174%
Banner Univ $7,749 2174%
Blue Cross Blue Shield $7,749 2174%
Cigna $7,749 2174%
Health Choice $7,749 2174%
Humana $7,749 2174%
Mercycare $7,749 2174%
Mercycare Advantage $7,749 2174%
Mercycare Rhba (Regional Health Behavioral Authority) $7,749 2174%
UnitedHealthcare $7,749 2174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 S San Tan Village Pkwy, Gilbert, AZ 85295
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL