CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Reedley

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $404
Cash Discount Price: $867
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Reedley is $404. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $867. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.13x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.

Cash / Self-Pay

$867

Average discount available for prompt cash payment at this facility.

Insurance Median

$404

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: $867 (243%)

Insurance Median: $404 (113%)

Cash: $867 (243% of Medicare)

Ins. Median: $404 (113% 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.

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
Cigna	$48 - $5,710	13%
Blue Shield Mcare	$85 - $449	24%
Fhcn Pace Mcr Adv-All Plans	$85 - $449	24%
Lasalle Med Assoc Profee Only - All Plans	$85	24%
Tricare	$85 - $449	24%
UnitedHealthcare	$85 - $3,694	24%
Upn Mcr Adv Profee Only	$85	24%
Ah Employee Health Plan - All Plans	$94 - $808	26%
Community Care Ipa Mcal-All Plans	$102 - $525	29%
Bc Mcal	$106 - $282	30%
Kaiser - All Other Plans	$115 - $4,392	32%
Kaiser Mcr Adv	$115 - $449	32%
Healthnet- All Other Plans	$124 - $3,821	35%
Western Growers/Pinnacle- All Plans	$127 - $4,041	36%
Blue Shield Epn - All Other Plans	$157 - $3,883	44%
Blue Cross Blue Shield	$161 - $1,663	45%
Blue Shield Non Epn	$166 - $4,498	47%
Aetna	$230 - $2,199	65%
Physicians Med Group Op/Profee Only- All Plans	$271 - $7,028	76%
Cal Viva Hlth Mcal - All Plans	$282 - $404	79%
Central Ca Alliance Mcal Profee Only	$282	79%
Dignity Mcal Op/Profee Only-All Other Plans	$282 - $445	79%
Medi-Cal	$282 - $404	79%
Upn Mcal Profee Only-All Other Plans	$282	79%
Central Ca Alliance Ccs Profee Only	$339	95%
Central Ca Alliance Chdp Profee Only	$339	95%
Central Ca Alliance Comm Profee Only - All Other P	$339	95%
Kern Health Systems Mcal-All Plans	$339 - $404	95%
Dignity Mcr Adv Op/Profee Only	$449	126%
Healthnet- Mcr Adv	$449	126%
Phs Prime Health Srvcs	$449	126%
Healthnet Medi-Cal	$596	167%
Bright Health Mcr Adv - All Plans	$704	198%

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 $867.
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 Adventist Health Reedley 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.