CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Ventura County Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $628
  • Cash Discount Price: $2,818
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Ventura County Medical Center is $628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,818. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.76x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$2,818

Average discount available for prompt cash payment at this facility.

Insurance Median
$628

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: $2,818 (791%)
Insurance Median: $628 (176%)
Cash: $2,818 (791% of Medicare)
Ins. Median: $628 (176% 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.

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 $404 113%
Kaiser Medi-Cal Ip/Op Only $404 113%
Medi-Cal $404 113%
Tricare $435 122%
Kaiser Mcal Pediatric Ip/Op Only $445 125%
Alignment Hp - All Plans $449 126%
Blue Shield Mcr Adv $449 126%
Humana $449 126%
UnitedHealthcare $462 - $3,085 130%
Healthnet Mcr Adv $471 132%
Clinicas Mcal $505 142%
Clinicas Mcr Adv $512 144%
Americas Hp Mcr Adv Ip/Op Only $516 145%
Americas Hp Mcal Ip/Op Only $525 147%
Scan-All Plans $538 151%
Western Growers-All Plans $561 157%
Clinicas Comm - All Other Plans $583 164%
Imperial-All Plans $583 164%
Ntwrk Provdrs-All Plans $583 164%
Americas Hp Comm Ip/Op Only-All Other Plans $673 189%
Gold Coast Medi-Cal-All Plans $713 200%
Blue Shield Comm - All Other Plans $820 230%
Vchcp-All Plans $1,071 300%
Cigna $1,190 334%
Blue Shield Epn $2,187 614%
Healthnet Comm-All Other Plans $3,100 870%
Kaiser Comm Pediatric Ip/Op Only $3,100 870%
Aetna $3,269 - $5,636 917%
Blue Cross Blue Shield $3,390 - $5,215 951%
Multiplan/Claritev-All Plans $4,509 1265%
Three Rivers Ip/Op Only-All Plans $4,509 1265%
Ppo Next Ip/Op Only-All Plans $5,072 1423%
Kaiser Mcr Pediatric Ip/Op Only $5,636 1581%
Medicare (plans) $5,636 1581%
Hpn Comm Ip/Op Only-All Other Plans $8,003 2245%

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