CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: El Centro Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $4,844
  • Cash Discount Price: $4,239
  • vs. Medicare Baseline: 19.87x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at El Centro Regional Medical Center is $4,844. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,239. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 19.87x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$4,239

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,844

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: $4,239 (1739%)
Insurance Median: $4,844 (1987%)
Cash: $4,239 (1739% of Medicare)
Ins. Median: $4,844 (1987% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1987% of the Medicare baseline (a markup of 1887%). 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
Blue Cross Blue Shield $306 - $6,060 126%
Brand New Day Comm - All Other Plans $306 126%
Brand New Day Mcr $306 126%
Healthnet Mcr Adv $306 126%
Molina Mcr Adv $306 126%
Scp Managed Care - All Plans $306 126%
Tricare $306 126%
UnitedHealthcare $306 - $1,548 126%
Easy Choice Mcr Adv-All Plans $337 138%
Blue Shield-All Plans $364 149%
Healthnet Hmo $383 157%
Cdcr Correctional-All Plans $398 163%
Pacificare-All Plans $1,890 775%
Aetna $2,662 - $2,666 1092%
Mulitplan Primary - All Other Plans $4,115 - $4,121 1688%
Cigna $4,538 - $4,545 1862%
Multiplan Comp $4,841 - $4,848 1986%
Trident - All Plans $5,143 - $5,151 2110%
Healthnet Comm-All Other Plans $5,446 - $5,454 2234%
Humana $5,627 - $5,636 2308%
Ahccs/Medi-Cal Misc - All Plans $6,051 - $6,060 2482%
Brand New Day Mcal $6,051 - $6,060 2482%
Medi-Cal $6,051 - $6,060 2482%
Molina Exchange - All Other Plans $6,051 - $6,060 2482%
Ambetter / Centene $6,233 - $6,242 2557%
Molina Mcal $6,656 - $6,666 2730%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals