CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Rose Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $496
  • Cash Discount Price: $1,849
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Rose Hospital is $496. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,849. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.39x the Medicare baseline. Located in 27200 Calaroga Ave, Hayward, CA.
Cash / Self-Pay
$1,849

Average discount available for prompt cash payment at this facility.

Insurance Median
$496

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: $1,849 (519%)
Insurance Median: $496 (139%)
Cash: $1,849 (519% of Medicare)
Ins. Median: $496 (139% 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
Cigna $288 - $4,623 81%
Healthnet Of California $288 - $4,250 81%
UnitedHealthcare $288 - $1,900 81%
Aetna $343 - $750 96%
Centers For Elder Independence $471 132%
Brown & Toland $496 139%
Humana $496 139%
Imperial Health Senior $496 139%
Medicare (plans) $496 139%
Blue Cross Blue Shield $561 157%
Canopy $943 265%
Blue Shield $1,240 348%
Blue Shield Affinity $1,240 348%
Blue Shield Hill $1,240 348%
Interplan $4,314 1210%
Multiplan Inc $4,746 1332%
Kaiser Foundation Hospitals $4,931 1383%
Preferred Health Network $5,239 1470%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 27200 Calaroga Ave, Hayward, CA 94545
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals