CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: City of Hope National Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,813
Cash Discount Price: $4,019
vs. Medicare Baseline: 7.89x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at City of Hope National Medical Center is $2,813. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,019. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.89x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$4,019

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,813

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: $4,019 (1128%)

Insurance Median: $2,813 (789%)

Cash: $4,019 (1128% of Medicare)

Ins. Median: $2,813 (789% 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 789% of the Medicare baseline (a markup of 689%). 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	$141 - $3,898	40%
Cal Optima	$198 - $275	56%
Heritage Provider Network	$254 - $2,813	71%
Inland Empire	$304 - $3,215	85%
Healthcare Partners	$420	118%
Prime Healthcare Keenan	$446 - $3,858	125%
Aetna	$715	201%
UnitedHealthcare	$1,502 - $2,251	421%
Blue Cross Blue Shield	$2,010 - $2,813	564%
Blue Shield	$2,379 - $4,791	667%
Blue Shield Covca	$2,444	686%
Blue Shield Promise	$2,813	789%
Cencal	$3,215	902%
La Care Health	$3,215	902%
Kaiser	$3,617	1015%
Gold Coast	$4,019	1128%
Molina	$4,019 - $5,225	1128%
Cigna	$4,316	1211%
Facey	$4,421	1240%
St. Joseph Heritage	$4,823	1353%
Primecare Medical Network	$5,225	1466%
First Health	$6,189	1736%
Phcs Multiplan	$7,234	2030%

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 $4,019.
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 City of Hope National Medical Center 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.