CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health and Rideout

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $6,445
Cash Discount Price: $2,205
vs. Medicare Baseline: 18.08x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health and Rideout is $6,445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,205. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 18.08x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$2,205

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,445

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: $2,205 (619%)

Insurance Median: $6,445 (1808%)

Cash: $2,205 (619% of Medicare)

Ins. Median: $6,445 (1808% 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 1808% of the Medicare baseline (a markup of 1708%). 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	$85	24%
Kaiser Mcal	$404	113%
Medi-Cal	$404	113%
Kaiser Mcr Adv	$450	126%
Tricare	$450	126%
UnitedHealthcare	$450 - $8,707	126%
Blue Cross Blue Shield	$455 - $1,657	128%
Ca Health And Wellness- All Plans	$501	141%
Celtic Mcaid-All Plans	$501	141%
Ah Employee Health Plan - All Plans	$810	227%
Healthnet Mcal	$1,474	414%
Healthnet Comm-All Other Plans	$6,445	1808%
Aetna	$7,087	1988%
Kaiser-All Other Plans	$7,618	2137%
Blue Shield Uc Care Members	$8,019	2250%
Cigna	$8,543	2397%
First Health-All Plans	$8,771	2461%
Phcs-All Plans	$8,821	2475%
Interplan-All Plans	$9,022	2531%
Blue Shield-All Other Plans	$9,523	2672%
Multiplan-All Plans	$9,523	2672%
Partnership Hp Mcal -All Plans	$16,540	4640%

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 $2,205.
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 Adventist Health and Rideout 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.