CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sharp Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,662
Cash Discount Price: $4,994
vs. Medicare Baseline: 10.27x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sharp Memorial Hospital is $3,662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,994. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.27x the Medicare baseline. Located in 7901 Frost St, San Diego, CA.

Cash / Self-Pay

$4,994

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,662

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: $4,994 (1401%)

Insurance Median: $3,662 (1027%)

Cash: $4,994 (1401% of Medicare)

Ins. Median: $3,662 (1027% 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 1027% of the Medicare baseline (a markup of 927%). 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
Humana	$2,264	635%
Health Net	$2,663	747%
Community Health Group	$2,796	784%
California Health And Wellness	$3,662	1027%
UnitedHealthcare	$3,995 - $6,525	1121%
Molina	$4,228	1186%
Cigna	$5,127	1438%
Interplan	$5,326	1494%
Medicare (plans)	$5,326	1494%

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 $4,994.
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 Sharp Memorial Hospital 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.