CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Adventist Health White Memorial
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $516
- Cash Discount Price: $2,556
- vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health White Memorial is $516. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,556. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.45x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$2,556
Average discount available for prompt cash payment at this facility.
Insurance Median
$516
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: $2,556 (717%)
Insurance Median: $516 (145%)
Cash: $2,556 (717% of Medicare)
Ins. Median: $516 (145% 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.
Out-of-Pocket Cost Estimator
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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 Shield Mcr Adv | $85 | 24% |
| Bc Medi-Cal | $102 | 29% |
| Hcpamg - All Plans | $363 | 102% |
| Access Group | $381 | 107% |
| Ahp - All Other Plans | $381 | 107% |
| Lasalle Mg Commercial - All Other Plans | $381 | 107% |
| Access Medi-Cal | $404 | 113% |
| Ahp Medi-Cal | $404 | 113% |
| Alta Los Angeles Mcal 1/1/19 | $404 | 113% |
| Avanti Mcal | $404 | 113% |
| Bella Vista Medi-Cal Op/Profee Only | $404 | 113% |
| Healthcare Inc Medi-Cal | $404 | 113% |
| Lasalle Mg Medi-Cal | $404 | 113% |
| Medi-Cal | $404 | 113% |
| Molina Medi-Cal | $404 | 113% |
| Pacific Alliance Medi-Cal | $404 | 113% |
| Pacific Ipa Medi-Cal | $404 | 113% |
| Preferred Ipa La Care Mcal Cap | $404 | 113% |
| Preferred Medi-Cal | $404 | 113% |
| Access Senior - All Other Plans | $449 | 126% |
| Ahp Senior | $449 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $449 | 126% |
| Altamed Connect | $449 | 126% |
| Avanti Mcr Adv - All Other Plans | $449 | 126% |
| Brand New Day Mcare - All Plans | $449 | 126% |
| Bs Va Mcare | $449 | 126% |
| Care First Mcare - All Other Plans | $449 | 126% |
| Clever Care - All Plans | $449 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $449 | 126% |
| Humana | $449 | 126% |
| Lasalle Mg Senior | $449 | 126% |
| Medicare (plans) | $449 | 126% |
| Molina Mcare | $449 | 126% |
| Pacific Alliance Mcare - All Other Plans | $449 | 126% |
| Preferred Senior | $449 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $449 | 126% |
| Tricare | $449 | 126% |
| UnitedHealthcare | $449 - $7,099 | 126% |
| Altamed Medi-Cal - All Other Plans | $465 | 130% |
| Blue Cross Blue Shield | $467 - $1,660 | 131% |
| Fcs Ipa Op/Profee Only - All Other Plans | $471 | 132% |
| Healthnet Mcal | $481 | 135% |
| Fcs Ipa Medi-Cal Op/Profee Only | $485 | 136% |
| Preferred Healthy | $505 | 142% |
| Caremore Mcare - All Plans | $514 | 144% |
| Bright Health - All Plans | $516 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $538 | 151% |
| Preferred Commercial - All Other Plans | $538 | 151% |
| Assoc Hispanic Physcns Mcal | $566 | 159% |
| Intergrated Medical - All Plans | $583 | 164% |
| Molina Benefit Exchange - All Other Plans | $606 | 170% |
| Php-Prospect Health Plan Cap - All Plans | $673 | 189% |
| Ah Employee Health Plan - All Plans | $808 | 227% |
| Centivo - All Plans | $1,010 | 283% |
| Blue Shield Medi-Cal | $1,011 | 284% |
| Aetna | $1,150 | 323% |
| Care First Medi-Cal | $1,415 | 397% |
| Cigna | $1,536 | 431% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 449% |
| Healthnet Comm Care | $1,713 | 481% |
| Healthnet - All Other Plans | $1,904 | 534% |
| La Care Mcr Adv - All Plans | $2,000 | 561% |
| Scan Health Mcare - All Plans | $2,500 | 701% |
| Healthcare Inc - All Other Plans | $3,245 | 910% |
| Blue Shield Epn | $3,379 | 948% |
| Blue Shield - All Other Plans | $3,933 | 1103% |
| Pacific Ipa - All Other Plans | $5,395 | 1514% |
| Kaiser- All Plans | $5,821 | 1633% |
| Western Growers/Pinnacle - All Plans | $5,821 | 1633% |
| First Heatlh Ppo - All Plans | $8,235 | 2310% |
| Phcs Ppo - All Plans | $9,229 | 2589% |
| Ahf - All Plans | $10,648 | 2987% |
| Beech Street - All Plans | $10,648 | 2987% |
| Interplan Ppo - All Plans | $10,648 | 2987% |
| Corvel Corp - All Plans | $11,358 | 3187% |
| Multiplan Ppo - All Plans | $11,784 | 3306% |
| Healthmannet - All Plans | $12,068 | 3386% |
| Next Inc Ppo - All Plans | $12,068 | 3386% |
| Trpn - All Plans | $12,068 | 3386% |
| Fpn Ppo - All Plans | $12,778 | 3585% |
| Healthnet Mcr Adv | $21,723 | 6095% |