CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sierra Nevada Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,227
about 5.0× the $244 Medicare rate · typically $355–$1,687
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,255
About the fair price
about $28 over the fair price · 5.1× Medicare
Medicare pays $244 Fair price $1,227 This hospital $1,255 Cash price $3,624 Hospital's list price $6,649

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 $73 Priciest $1,255

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 (no contrast) is about $1,227 (about 5.0× the $244 Medicare rate). Sierra Nevada Memorial Hospital charges insurers about $1,255, or about $3,624 in cash — about the fair price. Located in Grass Valley, CA.

What each insurance company pays

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

6 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 $318 - $4,455 130%
Blue Cross Blue Shieldmajor $239 - $1,788 98%
Aetnamajor $318 - $678 130%
Cignamajor $1,431 - $5,785 587%
Humanamajor $318 130%
Kaiser Permanentemajor $318 - $5,120 130%
Health Net $318 - $394 130%
+ 3 smaller / regional plans $174 - $394
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 155 Glasson Way, Grass Valley, CA 95945
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals