CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Saint Agnes Medical Center
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $73
- Cash Discount Price: $1,535
- vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Saint Agnes Medical Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,535. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.30x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$1,535
Average discount available for prompt cash payment at this facility.
Insurance Median
$73
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: $1,535 (630%)
Insurance Median: $73 (30%)
Cash: $1,535 (630% of Medicare)
Ins. Median: $73 (30% 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.
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 |
|---|---|---|
| Correctcare Integrated Health | $26 - $46 | 11% |
| Medi-Cal Healthnet | $29 - $92 | 12% |
| Blue Cross Blue Shield | $30 - $811 | 12% |
| Medicaid / KanCare | $51 - $207 | 21% |
| Aetna | $73 - $624 | 30% |
| Albany County Correctional Facility | $73 | 30% |
| Ambetter / Centene | $73 | 30% |
| Amish Mennonite | $73 | 30% |
| Andrie Inc | $73 | 30% |
| Ascension St. Vincent Public Safety Medical | $73 | 30% |
| Bcccp-Michigan | $73 | 30% |
| Bccp | $73 | 30% |
| Bmc Healthnet | $73 | 30% |
| Breast Grant-Connecticut | $73 | 30% |
| Broward County Dept Of Health | $73 | 30% |
| California Health And Wellness | $73 | 30% |
| Can Community Health Inc | $73 | 30% |
| Cardinal Innovations Lme | $73 | 30% |
| Care Connections Of Northern Iowa | $73 | 30% |
| Care Oregon Ohp | $73 | 30% |
| Cencal Health Plan | $73 | 30% |
| Cenpatico | $73 | 30% |
| Chhuny | $73 | 30% |
| Childrens Comm Health Plan | $73 | 30% |
| Childrens Medical Services Title 19 | $73 | 30% |
| Cigna | $73 - $3,396 | 30% |
| City Of Philadelphia | $73 | 30% |
| Cmh Allegan County | $73 | 30% |
| Cmh Ausable Valley | $73 | 30% |
| Cmh Barry County | $73 | 30% |
| Cmh Bay-Arenac County | $73 | 30% |
| Cmh Berrien County | $73 | 30% |
| Cmh Cass County | $73 | 30% |
| Cmh Central Mi County | $73 | 30% |
| Cmh Clinton-Eaton-Ingham County | $73 | 30% |
| Cmh Detroit Wayne Integrated Health Network | $73 | 30% |
| Cmh Genesee County | $73 | 30% |
| Cmh Ionia County | $73 | 30% |
| Cmh Jackson County/Lifeways | $73 | 30% |
| Cmh Kalamazoo | $73 | 30% |
| Cmh Kent County | $73 | 30% |
| Cmh Lenawee County | $73 | 30% |
| Cmh Livingston County | $73 | 30% |
| Cmh Macomb | $73 | 30% |
| Cmh Misc | $73 | 30% |
| Cmh Monroe County | $73 | 30% |
| Cmh Montcalm County | $73 | 30% |
| Cmh Muskegon County | $73 | 30% |
| Cmh Newaygo County | $73 | 30% |
| Cmh North Country | $73 | 30% |
| Cmh Northern Lakes County | $73 | 30% |
| Cmh Oakland County | $73 | 30% |
| Cmh Ottawa County | $73 | 30% |
| Cmh Van Buren County | $73 | 30% |
| Cmh Washtenaw County | $73 | 30% |
| Cmh Wayne County/Carelink | $73 | 30% |
| Cmh Wayne Cty/Com Liv Svcs | $73 | 30% |
| Cmh West Mi County | $73 | 30% |
| Community Benefit Health | $73 | 30% |
| Community Care Behavorial Health | $73 | 30% |
| Community Care Partners | $73 | 30% |
| Community Health Choice | $73 | 30% |
| Connections Csp | $73 | 30% |
| County Coroner | $73 | 30% |
| County Funding Generic | $73 | 30% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $73 | 30% |
| Dean Wi Badgercare | $73 | 30% |
| Delaware County Department Of Health | $73 | 30% |
| Delaware First Health | $73 | 30% |
| Delta Dental Nj | $73 | 30% |
| Dph Tb Program | $73 | 30% |
| Dscc | $73 | 30% |
| East Greenbush Central School District | $73 | 30% |
| Eastpointe Lme | $73 | 30% |
| Family Health Network | $73 | 30% |
| Freedom First Healthcare | $73 | 30% |
| Fresno County Ccs | $73 | 30% |
| Genex Wc | $73 | 30% |
| Ghc Scw Wi Badgercare | $73 | 30% |
| Harbor Health | $73 | 30% |
| Health Safety Net | $73 | 30% |
| Healthsmart Workers Comp | $73 | 30% |
| Healthy Blue Ne | $73 | 30% |
| Hennepin Health | $73 | 30% |
| Humana | $73 - $316 | 30% |
| Id County Ada | $73 | 30% |
| Id County Canyon | $73 | 30% |
| Id County Cat Fund | $73 | 30% |
| Id County Other | $73 | 30% |
| Id County Payette | $73 | 30% |
| Idaho Dept Health And Wellfare | $73 | 30% |
| Idaho Womens Health Check | $73 | 30% |
| Indiana Breast Cervical Cancer | $73 | 30% |
| Inland Empire Health Plan | $73 | 30% |
| Intercommunity Health Ohp | $73 | 30% |
| Iowa Total Care | $73 | 30% |
| Jag Source | $73 | 30% |
| Jai Medical System | $73 | 30% |
| Kern Family Health Plan | $73 | 30% |
| Keystone First | $73 | 30% |
| Keystone First Chip | $73 | 30% |
| La Care Health Plan | $73 | 30% |
| Lakeland Care Inc | $73 | 30% |
| Managed Health Services - Indiana | $73 | 30% |
| Maryland Breast & Cervical Program | $73 | 30% |
| Maryland Healthy Smiles - Scion Dental | $73 | 30% |
| Maryland Physicians Care | $73 | 30% |
| Massachusetts Behavioral Health Partnership | $73 | 30% |
| Mdwise | $73 | 30% |
| Medi-Cal | $73 | 30% |
| Medstar Dc Healthy Family | $73 | 30% |
| Medstar Md Health Choice | $73 | 30% |
| Mo Home State Health Plan | $73 | 30% |
| Molina Centennial Care | $73 | 30% |
| Nascentia Health Options | $73 | 30% |
| Nebraska Total Care | $73 | 30% |
| New York Cancer Services Program | $73 | 30% |
| New York State Insurance Fund | $73 | 30% |
| Nextlevel Health | $73 | 30% |
| Njm Insurance Group | $73 | 30% |
| Oregon Screenwise | $73 | 30% |
| Pace Of Southwest Michigan | $73 - $80 | 30% |
| Paramount Advantage | $73 | 30% |
| Parkland Community Health Plan | $73 | 30% |
| Partners Behavioral Lme | $73 | 30% |
| Peach State Healthplan | $73 | 30% |
| Philadelphia County Funding | $73 | 30% |
| Presbyterian Centennial Care | $73 | 30% |
| Prestige Health Choice | $73 | 30% |
| Priority Partners | $73 | 30% |
| Robert F Sing Program | $73 | 30% |
| Rx 340B Pass Along | $73 | 30% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $73 | 30% |
| Rx Heatlhcomp | $73 | 30% |
| Rx Medi-Cal | $73 | 30% |
| Rx Meridian Rx | $73 | 30% |
| Rx Restat | $73 | 30% |
| Rx Saif Opdp Wc | $73 | 30% |
| Rx Worker'S Comp | $73 | 30% |
| Ryan White Florida Mssrp | $73 | 30% |
| Sandhills Center Lme | $73 | 30% |
| Screening For Life | $73 | 30% |
| St Joseph County Hlth Dpt | $73 | 30% |
| Stephenson Cty Health | $73 | 30% |
| Sunshine State Health Plan | $73 | 30% |
| Superior Health | $73 | 30% |
| Tenncare | $73 | 30% |
| Texas Children'S Health Plan | $73 | 30% |
| Trillium Community Ohp | $73 | 30% |
| Tufts Health Public Plans | $73 | 30% |
| UnitedHealthcare | $73 - $738 | 30% |
| Vaya Health Lme | $73 | 30% |
| Washtenaw Health Plan | $73 | 30% |
| Wc Accident Fund | $73 | 30% |
| Wc Ace | $73 | 30% |
| Wc Acs Federal Employees | $73 | 30% |
| Wc Acuity | $73 | 30% |
| Wc Advantage | $73 | 30% |
| Wc Aegis | $73 | 30% |
| Wc Aig | $73 | 30% |
| Wc Aims | $73 | 30% |
| Wc Alaska National Ins | $73 | 30% |
| Wc Align Network | $73 | 30% |
| Wc Allied | $73 | 30% |
| Wc Am Trust N America | $73 | 30% |
| Wc American Claims Mgmt | $73 | 30% |
| Wc Amerisure | $73 | 30% |
| Wc Amtrust | $73 | 30% |
| Wc Asu Risk Mgt | $73 | 30% |
| Wc Benetech | $73 | 30% |
| Wc Berkley Admin | $73 | 30% |
| Wc Broadspire | $73 | 30% |
| Wc Broward County | $73 | 30% |
| Wc Bunch & Associates | $73 | 30% |
| Wc California State Comp Ins | $73 | 30% |
| Wc California State Ins Fund | $73 | 30% |
| Wc Capitol Area Health Consortium | $73 | 30% |
| Wc Ccmsi | $73 | 30% |
| Wc Chartis | $73 | 30% |
| Wc Chubb | $73 | 30% |
| Wc Cirma | $73 | 30% |
| Wc City Of Albany | $73 | 30% |
| Wc City Of Sioux City | $73 | 30% |
| Wc Claims Mgmt Inc | $73 | 30% |
| Wc Cna | $73 | 30% |
| Wc Comp One Admin C/O Manageability | $73 | 30% |
| Wc Compone Admin | $73 | 30% |
| Wc Ct Healthcare Trust | $73 | 30% |
| Wc Donegal Insurance Group | $73 | 30% |
| Wc Emc Insurance Company | $73 | 30% |
| Wc Employee Mutual | $73 | 30% |
| Wc Enablecomp | $73 | 30% |
| Wc Encore Health Network | $73 | 30% |
| Wc Erie | $73 | 30% |
| Wc Esis | $73 | 30% |
| Wc Evolutions | $73 | 30% |
| Wc Fcci | $73 | 30% |
| Wc Fed Ex | $73 | 30% |
| Wc Federal Black Lung | $73 | 30% |
| Wc Federated | $73 | 30% |
| Wc Finley Occupational Health | $73 | 30% |
| Wc First Agency/Occunet | $73 | 30% |
| Wc Ford Motor | $73 | 30% |
| Wc Fresno Unified Emp | $73 | 30% |
| Wc Gallagher Bassett | $73 | 30% |
| Wc General Motors | $73 | 30% |
| Wc Generic | $73 | 30% |
| Wc Genex Care For Ohio | $73 | 30% |
| Wc Great West Casualty | $73 | 30% |
| Wc Guarantee Insurance | $73 | 30% |
| Wc Guard Insurance Company | $73 | 30% |
| Wc Hab | $73 | 30% |
| Wc Hartford | $73 | 30% |
| Wc Hastings | $73 | 30% |
| Wc Health Management | $73 | 30% |
| Wc Heritage Summit | $73 | 30% |
| Wc Hireright | $73 | 30% |
| Wc Horizon | $73 | 30% |
| Wc Icw Group | $73 | 30% |
| Wc Idaho State Ins Fund | $73 | 30% |
| Wc Intercare Insurance | $73 | 30% |
| Wc Intermountain | $73 | 30% |
| Wc Johns Eastern | $73 | 30% |
| Wc Kemberton | $73 | 30% |
| Wc Key Ins & Benefit Solutions | $73 | 30% |
| Wc Liberty Mutual | $73 | 30% |
| Wc Mac Risk Management | $73 | 30% |
| Wc Massachusetts | $73 | 30% |
| Wc Mdia | $73 | 30% |
| Wc Meadowbrook Claim | $73 | 30% |
| Wc Medical Administrators | $73 | 30% |
| Wc Meijers | $73 | 30% |
| Wc Memic | $73 | 30% |
| Wc Mercy Workcare | $73 | 30% |
| Wc Michigan | $73 | 30% |
| Wc Michigan Millers Mutual | $73 | 30% |
| Wc Mitchell Frankenmuth | $73 | 30% |
| Wc Mra | $73 | 30% |
| Wc Nationwide | $73 | 30% |
| Wc Nca Comp | $73 | 30% |
| Wc New York | $73 | 30% |
| Wc New York Special Funds | $73 | 30% |
| Wc North American Rishces | $73 | 30% |
| Wc Northeast Health | $73 | 30% |
| Wc Notre Dame | $73 | 30% |
| Wc Novanet | $73 | 30% |
| Wc O'Hara Corp | $73 | 30% |
| Wc Occ Health Allen | $73 | 30% |
| Wc Ohio Bureau | $73 | 30% |
| Wc One Call Medical | $73 | 30% |
| Wc Paradigm | $73 | 30% |
| Wc Peerless | $73 | 30% |
| Wc Pma | $73 | 30% |
| Wc Praxis Health Network | $73 | 30% |
| Wc Price Chopper | $73 | 30% |
| Wc Procura Management | $73 | 30% |
| Wc Qualcare | $73 | 30% |
| Wc Quiktrip | $73 | 30% |
| Wc Reny Company | $73 | 30% |
| Wc Rev Claims | $73 | 30% |
| Wc Risico | $73 | 30% |
| Wc Rural Mutual | $73 | 30% |
| Wc Saif Oregon | $73 | 30% |
| Wc Secura | $73 | 30% |
| Wc Sedgwick | $73 | 30% |
| Wc Sentry | $73 | 30% |
| Wc Sheakley Unicomp | $73 | 30% |
| Wc Smile Lodge | $73 | 30% |
| Wc Society | $73 | 30% |
| Wc Srs | $73 | 30% |
| Wc Taconic (Mro) | $73 | 30% |
| Wc Taconic Farms | $73 | 30% |
| Wc Travelers | $73 | 30% |
| Wc Triad Group | $73 | 30% |
| Wc Tristar | $73 | 30% |
| Wc Troy Ny | $73 | 30% |
| Wc Tyson | $73 | 30% |
| Wc Unified Health Services | $73 | 30% |
| Wc United Heartland | $73 | 30% |
| Wc Us Dept Of Labor | $73 | 30% |
| Wc Velocity | $73 | 30% |
| Wc Walmart | $73 | 30% |
| Wc West Bend | $73 | 30% |
| Wc West Bend Mutual/Argent | $73 | 30% |
| Wc Winnebago Industries | $73 | 30% |
| Wc Yankee Trails | $73 | 30% |
| Wc York Risk | $73 | 30% |
| Wc Zenith | $73 | 30% |
| Wc Zurich | $73 | 30% |
| Wellsense Health Plan | $73 | 30% |
| Wi Womens Wellness | $73 | 30% |
| Ally Align Care Adv | $80 | 33% |
| American Health Advantage Of Idaho | $80 | 33% |
| American Health Plan | $80 | 33% |
| Aurora Special Needs | $80 | 33% |
| Blue Care Network Advantage | $80 | 33% |
| Blue Shield - De (Highmark) Medciare Advantage | $80 | 33% |
| Care Dimensions | $80 | 33% |
| Care Improvement Plus | $80 | 33% |
| Care Resources Pace | $80 | 33% |
| Careplus Health Plans | $80 | 33% |
| Cca - Zing Health | $80 | 33% |
| Cca Senior Care Options | $80 | 33% |
| Central Valley Medical Services Corp Pace | $80 | 33% |
| Champion Health Plan Mcr Advantage | $80 | 33% |
| Clear Spring Health | $80 | 33% |
| Clover Health | $80 | 33% |
| Commonwealth Care Alliance | $80 | 33% |
| Community Pace At Home | $80 | 33% |
| Eddy Senior Care-Pace | $80 | 33% |
| Eddy Seniorcare Pace | $80 | 33% |
| Elementcare | $80 | 33% |
| Evercare | $80 | 33% |
| Everence | $80 | 33% |
| Gateway Health Plan | $80 | 33% |
| Genesys Pace Of Genesee County | $80 | 33% |
| Georgia Health Advantage | $80 | 33% |
| Gold Advantage | $80 | 33% |
| Gpa Croell Redi Mix | $80 | 33% |
| Health America Advantra | $80 | 33% |
| Highmark Health Options Dual Plan | $80 | 33% |
| Hope Select Pace | $80 | 33% |
| Horizon Nj Total Care | $80 | 33% |
| Hudson Headwaters Pace | $80 | 33% |
| Huron Valley Pace | $80 | 33% |
| Innovative Integrated Health Community Plans | $80 | 33% |
| Iowa Health Advantage | $80 | 33% |
| Johns Hopkins Advantage Md | $80 | 33% |
| Lasso Healthcare Msa | $80 | 33% |
| Life St Marys Pace | $80 | 33% |
| Lifecircles Pace | $80 | 33% |
| Longevity Health Plan | $80 | 33% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $80 | 33% |
| Martins Point Generations Advantage | $80 | 33% |
| Mass General Brigham Mcr Adv | $80 | 33% |
| Medicare (plans) | $80 - $316 | 33% |
| Medipak Advantage | $80 | 33% |
| Mercy Life | $80 | 33% |
| Mercyone Cedar Valley | $80 | 33% |
| Meridian Complete | $80 | 33% |
| Michigan Complete Health | $80 | 33% |
| Nascentia Health Plus | $80 | 33% |
| New Centry Health Careplus | $80 | 33% |
| Osu Prime Care Advantage | $80 | 33% |
| Pace Cny | $80 | 33% |
| Pace Iowa Immanuel Pathways | $80 | 33% |
| Pace Southeast | $80 | 33% |
| Pace-Trinity Health | $80 | 33% |
| Peak Pace Solutions | $80 | 33% |
| Perennial Advantage | $80 | 33% |
| Preferred Care Partners | $80 | 33% |
| Presbyterian Senior Plan | $80 | 33% |
| Provider Partners Health Plan Of Illinois | $80 | 33% |
| Provider Partners Health Plan Of Indiana | $80 | 33% |
| Pruitthealth Premier | $80 | 33% |
| Reliance Community Care Partners Care Resources Pace | $80 | 33% |
| Rx Allwin | $80 | 33% |
| Rx Grane Grnmedd | $80 | 33% |
| Rx Retiree Rx Care | $80 | 33% |
| Scan Health Plan Mcr Ipa Meritage Oon | $80 | 33% |
| Secure Horizons Ma Pffs | $80 | 33% |
| Serenity Pace | $80 | 33% |
| Siouxland Pace | $80 | 33% |
| Solis Health Plans | $80 | 33% |
| Sunnyview-Pace Finance Dept | $80 | 33% |
| Texan Plus | $80 | 33% |
| The Health Plan | $80 | 33% |
| Thome Pace | $80 | 33% |
| Todays Options | $80 | 33% |
| Tribute Health Plans | $80 | 33% |
| Um Health Advantage | $80 | 33% |
| Union Health Service | $80 | 33% |
| Wellmed | $80 | 33% |
| Champva | $81 | 33% |
| Tricare | $81 | 33% |
| Triwest Health Alliance | $81 | 33% |
| Us Family Health Plan | $81 | 33% |
| Veterans Administration | $81 | 33% |
| Veterans Eval Services | $81 | 33% |
| Multiplan | $82 - $3,700 | 34% |
| Phcs | $82 - $3,700 | 34% |
| Welbe Health | $84 - $316 | 34% |
| Meritain | $89 - $591 | 37% |
| Advantek Central Usd | $91 - $636 | 37% |
| Align Senior Care | $94 - $353 | 39% |
| Healthnet | $95 - $3,586 | 39% |
| Blue Shield - Ca | $98 - $911 | 40% |
| Coventry | $98 - $3,031 | 40% |
| First Health | $98 | 40% |
| Cba Network By Design | $106 - $3,304 | 43% |
| Geha | $127 - $738 | 52% |
| Bcn Domestic | $131 | 54% |
| Blue Benefit Administrators Of Massachusetts | $131 - $811 | 54% |
| Blue Care Network | $131 - $811 | 54% |
| Blue Distinction Transplant | $131 - $811 | 54% |
| Blue Shield - Id (Regence) | $131 - $811 | 54% |
| Blue Shield - Ny Highmark Northeastern | $131 - $811 | 54% |
| Blue Shield - Ny Highmark Western | $131 - $811 | 54% |
| Blue Shield - Pa (Highmark) | $131 - $811 | 54% |
| Blue Shield - Wa (Regence) | $131 - $811 | 54% |
| Health Choices | $131 | 54% |
| Kaiser Domestic | $131 | 54% |
| Pre-Employment | $131 | 54% |
| Wc Domestic | $131 | 54% |
| Kaiser Permanente | $159 - $537 | 65% |
| Wc Corvel | $162 - $186 | 66% |
| Trustmark Small Business Benefits | $591 | 242% |
| Allied Benefit Systems | $624 | 256% |
| Boon Chapman | $624 | 256% |
| Hap | $624 | 256% |
| Webtpa | $624 | 256% |
| St Agnes Nicu Valley Childrens Hospital | $2,863 | 1174% |
| Network Health | $3,304 | 1355% |
| Allegiance | $3,396 | 1393% |
| American Postal Workers Secondary | $3,396 | 1393% |
| Interplan | $3,964 | 1626% |