CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sharp Chula Vista Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,622
Cash Discount Price: $3,480
vs. Medicare Baseline: 10.76x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sharp Chula Vista Medical Center is $2,622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,480. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.76x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$3,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,622

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: $3,480 (1428%)

Insurance Median: $2,622 (1076%)

Cash: $3,480 (1428% of Medicare)

Ins. Median: $2,622 (1076% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1076% of the Medicare baseline (a markup of 976%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Molina	$650 - $3,248	267%
Blue Cross Blue Shield	$696 - $3,155	286%
Community Health Group	$696	286%
UnitedHealthcare	$1,378 - $3,248	565%
Cigna	$1,415 - $2,622	580%
California Health And Wellness	$1,578	647%
Aetna	$1,856 - $4,547	761%
Health Net	$1,949 - $3,712	800%
Indian Health Council	$2,223	912%
San Diego Pace	$2,223	912%
Interplan	$2,227 - $3,480	914%
Multiplan	$2,227 - $3,480	914%
Epic Americas	$2,343	961%
Humana	$2,584 - $3,248	1060%
Blue Shield	$2,622 - $3,202	1076%
Medi-Cal	$2,830	1161%
Medicare (plans)	$3,155	1294%

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 $3,480.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.