CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ventura County Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $414
  • Cash Discount Price: $1,554
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ventura County Medical Center is $414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,554. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.70x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$1,554

Average discount available for prompt cash payment at this facility.

Insurance Median
$414

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: $1,554 (637%)
Insurance Median: $414 (170%)
Cash: $1,554 (637% of Medicare)
Ins. Median: $414 (170% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Hpn Ip/Op Only Medi-Cal $257 105%
Kaiser Medi-Cal Ip/Op Only $257 105%
Medi-Cal $257 105%
Kaiser Mcal Pediatric Ip/Op Only $282 116%
Tricare $298 122%
Alignment Hp - All Plans $307 126%
Blue Shield Mcr Adv $307 126%
Humana $307 126%
UnitedHealthcare $316 - $1,700 130%
Clinicas Mcal $321 132%
Healthnet Mcr Adv $322 132%
Americas Hp Mcal Ip/Op Only $334 137%
Clinicas Mcr Adv $350 144%
Americas Hp Mcr Adv Ip/Op Only $353 145%
Scan-All Plans $368 151%
Western Growers-All Plans $384 158%
Clinicas Comm - All Other Plans $399 164%
Imperial-All Plans $399 164%
Ntwrk Provdrs-All Plans $399 164%
Blue Shield Comm - All Other Plans $430 176%
Gold Coast Medi-Cal-All Plans $453 186%
Americas Hp Comm Ip/Op Only-All Other Plans $460 189%
Vchcp-All Plans $590 242%
Cigna $1,190 488%
Blue Shield Epn $1,206 495%
Healthnet Comm-All Other Plans $1,709 701%
Kaiser Comm Pediatric Ip/Op Only $1,709 701%
Aetna $1,802 - $3,107 739%
Blue Cross Blue Shield $1,869 - $2,875 767%
Multiplan/Claritev-All Plans $2,486 1020%
Three Rivers Ip/Op Only-All Plans $2,486 1020%
Ppo Next Ip/Op Only-All Plans $2,796 1147%
Kaiser Mcr Pediatric Ip/Op Only $3,107 1275%
Medicare (plans) $3,107 1275%
Hpn Comm Ip/Op Only-All Other Plans $4,412 1810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals