CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Washington Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,077
  • Cash Discount Price: $5,409
  • vs. Medicare Baseline: 14.24x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Washington Hospital is $5,077. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,409. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.24x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$5,409

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,077

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: $5,409 (1518%)
Insurance Median: $5,077 (1424%)
Cash: $5,409 (1518% of Medicare)
Ins. Median: $5,077 (1424% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1424% of the Medicare baseline (a markup of 1324%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Kaiser Medi-Cal $404 113%
Medi-Cal $404 113%
Health Net Sr Plus Hmo $495 139%
Blue Cross Blue Shield $498 - $6,013 140%
Aetna $510 - $5,891 143%
Alameda Alliance Mcr Adv $510 143%
Blue Shield Mcr Adv $510 143%
Brand New Day Mcr Adv - All Plans $510 143%
Canopy Mcr Adv $510 143%
Central Hlth Mcr Adv - All Plans $510 143%
Humana $510 - $7,489 143%
Kaiser Mcr Adv $510 143%
On Lok Senior Health Services-All Plans $510 143%
Tricare $510 143%
UnitedHealthcare $510 - $5,409 143%
Va (Triwest Ccn)-All Plans $510 143%
Health Net/Healthy Family/Aim $1,664 467%
Alameda Alliance Ppo-All Other Plans $2,496 700%
Healthnet Comm - All Other Plans $2,834 795%
Canopy-All Other Plans $4,244 1191%
Blue Shield Eppo $4,385 1230%
Kaiser - All Other Plans $4,493 1261%
Cigna $5,567 - $6,657 1562%
Blue Shield Hmo $5,600 1571%
Pacific Health Alliance Epo $5,825 1634%
Standford Health Services-All Plans $5,825 1634%
County Of Santa Clara-All Plans $6,241 1751%
Blue Shield Ppo - All Other Plans $6,490 1821%
Pacific Foundation Epo $6,657 1868%
Preferred Health Network-All Plans $7,054 1979%
Corvel-All Plans $7,073 1984%
Interplan B-2 Ppo $7,073 1984%
Masonic Homes Ppo-All Plans $7,073 1984%
Multiplan Ppo-All Plans $7,073 1984%
Pacific Health Alliance Ppo-All Other Plans $7,073 1984%
Interplan B-4 Ppo-All Other Plans $7,322 2054%
Cna (Mailhandlers)-All Plans $7,489 2101%
First Health -All Plans $7,489 2101%
Pacific Foundation Ppo-All Other Plans $7,489 2101%
Phcs/Private Healthcare Systems-All Plans $7,489 2101%
Three Rivers Provider Network-All Plans $7,489 2101%
Beech Street-All Plans $7,905 2218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals