CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: City of Hope National Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,356
Cash Discount Price: $3,366
vs. Medicare Baseline: 9.66x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at City of Hope National Medical Center is $2,356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,366. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.66x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$3,366

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,356

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: $3,366 (1381%)

Insurance Median: $2,356 (966%)

Cash: $3,366 (1381% of Medicare)

Ins. Median: $2,356 (966% 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 966% of the Medicare baseline (a markup of 866%). 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
Health Net	$70 - $3,265	29%
Cal Optima	$99 - $170	41%
Heritage Provider Network	$126 - $2,356	52%
Inland Empire	$151 - $2,693	62%
Prime Healthcare Keenan	$212 - $3,231	87%
Healthcare Partners	$285	117%
Aetna	$715	293%
UnitedHealthcare	$947 - $1,885	388%
Blue Cross Blue Shield	$1,081 - $2,356	443%
Blue Shield	$1,993 - $4,012	818%
Blue Shield Covca	$2,047	840%
Blue Shield Promise	$2,356	966%
Cencal	$2,693	1105%
La Care Health	$2,693	1105%
Kaiser	$3,029	1243%
Gold Coast	$3,366	1381%
Molina	$3,366 - $4,376	1381%
Cigna	$3,615	1483%
Facey	$3,703	1519%
St. Joseph Heritage	$4,039	1657%
Primecare Medical Network	$4,376	1795%
First Health	$5,184	2127%
Phcs Multiplan	$6,059	2486%

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 $3,366.
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 City of Hope National Medical Center 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.