CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Simi Valley

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,452
  • Cash Discount Price: $1,356
  • vs. Medicare Baseline: 5.96x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Simi Valley is $1,452. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,356. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.96x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$1,356

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,452

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: $1,356 (556%)
Insurance Median: $1,452 (596%)
Cash: $1,356 (556% of Medicare)
Ins. Median: $1,452 (596% 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 596% of the Medicare baseline (a markup of 496%). 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
Ehn - All Plans $180 74%
Blue Shield Mcare $307 126%
Facey Medical Mdcare $307 126%
Medicare (plans) $307 126%
Tricare $307 126%
UnitedHealthcare $307 - $3,517 126%
Gold Coast Mcal - All Plans $316 130%
Facey Medical Hmo/Pos - All Other Plans $368 151%
Ah Employee Health Plan - All Plans $552 226%
Hpn Senior Hmo $580 238%
Bc Exchange $592 243%
Bc Non Mcs $658 270%
Centivo - All Plans $690 283%
Hpn - All Other Plans $747 306%
Bc Mcs - All Other Plans $790 324%
Cigna $1,095 449%
Health Net - All Plans $1,810 743%
Scan Mcr Adv - All Plans $2,500 1026%
Vchcp - All Plans $3,389 1390%
Western Growers - All Plans $3,558 1460%
Blue Shield - All Other Plans $3,889 1595%
Kaiser - All Plans $4,236 1738%
Aetna $4,660 1912%
First Health - All Plans $5,507 2259%
Phcs Ppo - All Plans $5,507 2259%
Beech Street Ppo - All Plans $6,354 2607%
Choicecare Ppo - All Plans $6,354 2607%
Corvel Corp - All Plans $6,778 2780%
Interplan Ppo - All Plans $6,778 2780%
Multiplan Ppo - All Plans $7,032 2885%
Ahf - All Plans $7,201 2954%
Hmn Ppo/Epo - All Plans $7,201 2954%
Trpn Ppo - All Plans $7,201 2954%
Fpn Ppo - All Plans $7,625 3128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals