CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Alhambra Hospital Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $345
  • Cash Discount Price: $7,765
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Alhambra Hospital Medical Center is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,765. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$7,765

Average discount available for prompt cash payment at this facility.

Insurance Median
$345

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: $7,765 (3185%)
Insurance Median: $345 (142%)
Cash: $7,765 (3185% of Medicare)
Ins. Median: $345 (142% 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.

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
Citrus Valley Health Partners $174 71%
Health Net Medi-Cal $174 71%
Kaiser Medi-Cal $174 71%
La Care Pasc Seiu Misc $174 71%
Medi-Cal $174 71%
Miscellaneous Medi-Cal Hmo $174 71%
Aetna $193 - $307 79%
La Care Medi-Cal Hmo $200 82%
Blue Cross Blue Shield $202 - $512 83%
Blue Shield 65 Plus $290 119%
Apa Aco $297 122%
Altamed Senior Services $302 124%
Brand New Day Sr $302 124%
Central Health Plan Of Ca Senior Hmo $302 124%
Health Net Senior Hmo $302 124%
Medicare (plans) $302 - $4,000 124%
Humana $307 126%
La Care Exchange $307 126%
Miscellaneous Senior Hmo $307 126%
Tricare $307 126%
UnitedHealthcare $307 - $376 126%
Wellcare Senior Hmo $307 126%
Alignment Senior Hmo $317 130%
Ahmc-Reciprocity-Comm/Senior $345 142%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $345 142%
Health Net Salud Con Hmo $373 153%
Molina Exchange $377 155%
Health Net Exchange $378 155%
Miscellaneous Work Comp Hmo $408 167%
Molina Health Plan $450 185%
Ahmc Health $453 186%
Allied Physicians Of Ca Commercial $460 189%
Health Net Ppo/Epo/Pos $640 263%
Cigna $940 - $1,513 386%
Blue Shield Value Network Exchange $1,408 578%
Blue Shield Hmo/Ppo $1,569 644%
Self Pay $3,106 1274%
Health Net Exchange Enhanced Ppo $3,293 1351%
Kaiser Commercial $4,815 1975%
Multiplan $6,212 2548%
Miscellaneous Commercial Ppo/Hmo $7,765 3185%
Stewart Mg Senior Hmo $7,765 3185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals