CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health and Rideout

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,862
Cash Discount Price: $2,006
vs. Medicare Baseline: 24.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health and Rideout is $5,862. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,006. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 24.05x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$2,006

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,862

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: $2,006 (823%)

Insurance Median: $5,862 (2405%)

Cash: $2,006 (823% of Medicare)

Ins. Median: $5,862 (2405% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2405% of the Medicare baseline (a markup of 2305%). 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
Bc Mcal	$79	32%
Kaiser Mcal	$257	105%
Medi-Cal	$257	105%
Kaiser Mcr Adv	$308	126%
Tricare	$308	126%
UnitedHealthcare	$308 - $7,918	126%
Blue Cross Blue Shield	$311 - $1,657	128%
Ca Health And Wellness- All Plans	$318	130%
Celtic Mcaid-All Plans	$318	130%
Ah Employee Health Plan - All Plans	$554	227%
Healthnet Mcal	$1,474	605%
Healthnet Comm-All Other Plans	$5,862	2405%
Aetna	$6,445	2644%
Kaiser-All Other Plans	$6,928	2842%
Blue Shield Uc Care Members	$7,293	2992%
Cigna	$7,770	3187%
First Health-All Plans	$7,976	3272%
Phcs-All Plans	$8,022	3291%
Interplan-All Plans	$8,204	3365%
Blue Shield-All Other Plans	$8,660	3553%
Multiplan-All Plans	$8,660	3553%
Partnership Hp Mcal -All Plans	$15,041	6170%

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 $2,006.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health and Rideout is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.