CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Reedley

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $257
  • Cash Discount Price: $627
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Reedley is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $627. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.05x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$627

Average discount available for prompt cash payment at this facility.

Insurance Median
$257

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: $627 (257%)
Insurance Median: $257 (105%)
Cash: $627 (257% of Medicare)
Ins. Median: $257 (105% 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
Cigna $46 - $4,078 19%
Blue Shield Mcare $81 - $307 33%
Fhcn Pace Mcr Adv-All Plans $81 - $307 33%
Lasalle Med Assoc Profee Only - All Plans $81 33%
Tricare $81 - $307 33%
UnitedHealthcare $81 - $2,638 33%
Upn Mcr Adv Profee Only $81 33%
Ah Employee Health Plan - All Plans $89 - $552 37%
Community Care Ipa Mcal-All Plans $98 - $334 40%
Bc Mcal $99 - $174 41%
Kaiser - All Other Plans $110 - $3,137 45%
Kaiser Mcr Adv $110 - $307 45%
Healthnet- All Other Plans $118 - $2,729 48%
Aetna $121 - $2,199 50%
Western Growers/Pinnacle- All Plans $121 - $2,886 50%
Blue Shield Epn - All Other Plans $150 - $2,773 62%
Blue Cross Blue Shield $153 - $872 63%
Blue Shield Non Epn $159 - $3,212 65%
Cal Viva Hlth Mcal - All Plans $174 - $257 71%
Central Ca Alliance Mcal Profee Only $174 71%
Dignity Mcal Op/Profee Only-All Other Plans $174 - $282 71%
Medi-Cal $174 - $257 71%
Upn Mcal Profee Only-All Other Plans $174 71%
Kern Health Systems Mcal-All Plans $218 - $257 89%
Physicians Med Group Op/Profee Only- All Plans $258 - $5,019 106%
Central Ca Alliance Ccs Profee Only $261 107%
Central Ca Alliance Comm Profee Only - All Other P $261 107%
Dignity Mcr Adv Op/Profee Only $307 126%
Healthnet- Mcr Adv $307 126%
Phs Prime Health Srvcs $307 126%
Central Ca Alliance Chdp Profee Only $323 133%
Bright Health Mcr Adv - All Plans $482 198%
Healthnet Medi-Cal $596 244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals