CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Valley Presbyterian Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,486
Cash Discount Price: $4,312
vs. Medicare Baseline: 4.17x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Valley Presbyterian Hospital is $1,486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,312. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.17x the Medicare baseline. Located in 15107 Vanowen St, Van Nuys, CA.

Cash / Self-Pay

$4,312

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,486

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: $4,312 (1210%)

Insurance Median: $1,486 (417%)

Cash: $4,312 (1210% of Medicare)

Ins. Median: $1,486 (417% 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 417% of the Medicare baseline (a markup of 317%). 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 Shield Senior	$445	125%
Aetna	$454 - $2,525	127%
Blue Cross Blue Shield	$454 - $644	127%
Health Net Senior	$454	127%
La Care Covered California	$454	127%
Medicare (plans)	$454 - $476	127%
Ambetter / Centene	$640	180%
Health Net	$676 - $897	190%
Heritage Provider Network (Regal & Lakeside)	$703	197%
Cigna	$859	241%
Blue Shield Ifp	$1,005	282%
Blue Shield Promise Medi-Cal	$1,052 - $1,104	295%
Blue Shield	$1,193	335%
UnitedHealthcare	$1,486 - $3,436	417%
La Care Medi-Cal	$2,524 - $2,650	708%
Phcs	$2,524 - $2,650	708%
Coventry Health Care (Ccn)	$2,945 - $3,092	826%
Beech Street	$3,155 - $3,313	885%
Multiplan	$3,786 - $3,975	1062%

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 $4,312.
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 Valley Presbyterian 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.