CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: San Gabriel Valley Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$479
about 1.3× the $356 Medicare rate · typically $408–$633
modeled estimate · not a bill or quote
What this hospital charges insurers
$442
About the fair price
about $37 under the fair price · 1.2× Medicare
Medicare pays $356 Fair price $479 This hospital $442 Cash price $1,228 Hospital's list price $4,094

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $114 Priciest $442

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $479 (about 1.3× the $356 Medicare rate). San Gabriel Valley Medical Center charges insurers about $442, or about $1,228 in cash — about the fair price. Located in San Gabriel, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $252 - $571 71%
Blue Cross Blue Shieldmajor $89 - $3,021 25%
Aetnamajor $378 - $651 106%
Cignamajor $1,550 435%
Humanamajor $442 124%
Health Net $203 - $4,967 57%
Molina $442 - $471 124%
Presbyterian $203 - $282 57%
WellCare $442 124%
+ 28 smaller / regional plans $203 - $4,967
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals