CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,587
Cash Discount Price: $3,480
vs. Medicare Baseline: 10.61x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sharp Coronado Hospital and Hlthcr Ctr is $2,587. 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 10.61x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$3,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,587

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: $2,587 (1061%)

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

Ins. Median: $2,587 (1061% 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 1061% of the Medicare baseline (a markup of 961%). 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
Aetna	$696 - $3,480	286%
Community Health Group	$696 - $3,480	286%
Blue Cross Blue Shield	$1,378 - $4,547	565%
Health Net	$1,378 - $3,480	565%
Interplan	$1,378	565%
Medi-Cal	$1,378 - $3,044	565%
Blue Shield	$1,578 - $3,573	647%
Indian Health Council	$1,578 - $3,480	647%
Managed Health Network	$1,578	647%
County Medical Services	$1,949	800%
Kaiser	$2,320	952%
San Diego Pace	$2,320 - $3,248	952%
Molina	$2,343 - $4,176	961%
Cigna	$2,552 - $2,622	1047%
Allianz Global Assistance	$2,622	1076%
UnitedHealthcare	$2,923 - $3,480	1199%
Medicare (plans)	$3,109	1275%
Epic Americas	$3,480	1428%

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 Coronado Hospital and Hlthcr Ctr 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.