CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Oak Valley Hospital District

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,146
Cash Discount Price: $6,655
vs. Medicare Baseline: 14.44x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Oak Valley Hospital District is $5,146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,655. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.44x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.

Cash / Self-Pay

$6,655

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,146

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: $6,655 (1867%)

Insurance Median: $5,146 (1444%)

Cash: $6,655 (1867% of Medicare)

Ins. Median: $5,146 (1444% 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 1444% of the Medicare baseline (a markup of 1344%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$404 - $7,986	113%
Healthnet Medi-Cal Ip/Op Only	$404	113%
Kaiser Medi-Cal Ip/Op Only	$404	113%
Medi-Cal Ip/Op Only	$404	113%
Alignment Op Only Ip/Op Only-All Plans	$449	126%
Humana	$449	126%
Kaiser Mcr Adv Ip/Op Only	$449	126%
Scan Health Plan Ip/Op Only-All Plans	$458	128%
Hp Of San Joaquin Ip/Op Only-All Plans	$485	136%
Imperial Health Ip/Op Only-All Plans	$494	139%
Blue Shield Epn Ip/Op Only	$4,058	1139%
Healthnet Comm Op Only Ip/Op Only-All Other Plans	$5,146	1444%
Kaiser Comm Ip/Op Only-All Other Plans	$5,501	1543%
Blue Shield/Bcout Ip/Op Only-All Other Plans	$5,856	1643%
Cigna	$5,945	1668%
UnitedHealthcare	$6,211	1743%
Aetna	$7,551	2119%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $6,655.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oak Valley Hospital District is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.