CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: El Centro Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,727
  • Cash Discount Price: $5,011
  • vs. Medicare Baseline: 16.07x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at El Centro Regional Medical Center is $5,727. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,011. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.07x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$5,011

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,727

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: $5,011 (1406%)
Insurance Median: $5,727 (1607%)
Cash: $5,011 (1406% of Medicare)
Ins. Median: $5,727 (1607% 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 1607% of the Medicare baseline (a markup of 1507%). 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 $448 - $7,160 126%
Brand New Day Comm - All Other Plans $448 126%
Brand New Day Mcr $448 126%
Healthnet Mcr Adv $448 126%
Molina Mcr Adv $448 126%
Scp Managed Care - All Plans $448 126%
Tricare $448 126%
UnitedHealthcare $448 - $1,548 126%
Easy Choice Mcr Adv-All Plans $493 138%
Healthnet Hmo $560 157%
Cdcr Correctional-All Plans $582 163%
Blue Shield-All Plans $694 195%
Pacificare-All Plans $1,890 530%
Aetna $3,149 - $3,150 883%
Mulitplan Primary - All Other Plans $4,867 - $4,869 1365%
Cigna $5,368 - $5,370 1506%
Multiplan Comp $5,726 - $5,728 1606%
Trident - All Plans $6,083 - $6,086 1707%
Healthnet Comm-All Other Plans $6,441 - $6,444 1807%
Humana $6,656 - $6,659 1867%
Ahccs/Medi-Cal Misc - All Plans $7,157 - $7,160 2008%
Brand New Day Mcal $7,157 - $7,160 2008%
Medi-Cal $7,157 - $7,160 2008%
Molina Exchange - All Other Plans $7,157 - $7,160 2008%
Ambetter / Centene $7,372 - $7,375 2068%
Molina Mcal $7,873 - $7,876 2209%

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