CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Glendale Adventist Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $406
  • Cash Discount Price: $866
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Glendale Adventist Medical Center is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $866. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.14x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$866

Average discount available for prompt cash payment at this facility.

Insurance Median
$406

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: $866 (243%)
Insurance Median: $406 (114%)
Cash: $866 (243% of Medicare)
Ins. Median: $406 (114% 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.

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 - $1,268 13%
Aetna $89 - $1,306 25%
Alignment Hp Mcr Adv - All Plans $89 - $11,175 25%
Blue Shield Mcr Adv $89 - $449 25%
Caremore Mcr Adv - All Plans $89 - $514 25%
Clever Care Mcr Adv - All Plans $89 - $449 25%
Healthcare Partners- All Plans $89 - $644 25%
La Care Mcr Adv- All Plans $89 - $2,000 25%
Molina Mcr $89 - $449 25%
Scan Mcr Adv - All Plans $89 - $2,500 25%
Tricare $89 - $449 25%
UnitedHealthcare $89 - $4,526 25%
Blue Cross Blue Shield $92 - $1,513 26%
Ah Employee Health Plan - All Plans $98 - $808 27%
Bc Medi-Cal $103 - $282 29%
Heritage Commercial - All Other Plans $107 - $406 30%
Heritage Sr $107 - $361 30%
Regal Medical Group Commercial - All Other Plans $107 - $538 30%
Dept Of State Hsp Metropolitan- All Plans $116 - $583 33%
Molina Exchange - All Other Plans $120 - $606 34%
Healthnet Mcr Adv $126 - $15,868 35%
Healthnet - All Other Plans $130 - $1,674 36%
Western Growers/Pinnacle - All Plans $132 - $4,805 37%
Centivo - All Plans $133 - $1,010 37%
Blue Shield Epn - All Other Plans $157 - $4,009 44%
Blue Shield Non Epn $166 - $4,619 47%
Phys Assoc Op Only- All Plans $180 51%
First Health- All Plans $217 - $6,482 61%
Phcs- All Plans $243 - $7,264 68%
Blue Shield Medi-Cal $282 - $1,011 79%
Medi-Cal $282 - $404 79%
Molina Mcal $282 - $404 79%
Corvel- All Plans $299 - $8,940 84%
Heritage Mcal $299 - $428 84%
Employers Health Network - All Plans $300 84%
Health Mgmt Network - All Plans $318 - $9,499 89%
Kaiser - All Plans $318 - $9,499 89%
Healthnet Mcal $336 - $481 94%
Regal Med Group Mcal $449 126%
Beech Street - All Plans $8,381 2351%
Choicecare - All Plans $8,381 2351%
Three Rivers - All Plans $9,499 2665%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals