CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Alhambra Hospital Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $450
  • Cash Discount Price: $8,307
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Alhambra Hospital Medical Center is $450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,307. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.26x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$8,307

Average discount available for prompt cash payment at this facility.

Insurance Median
$450

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: $8,307 (2331%)
Insurance Median: $450 (126%)
Cash: $8,307 (2331% of Medicare)
Ins. Median: $450 (126% 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
Citrus Valley Health Partners $282 79%
Health Net Medi-Cal $282 79%
Kaiser Medi-Cal $282 79%
La Care Pasc Seiu Misc $282 79%
Medi-Cal $282 79%
Miscellaneous Medi-Cal Hmo $282 79%
La Care Medi-Cal Hmo $324 91%
Blue Cross Blue Shield $327 - $808 92%
Ahmc-Reciprocity-Comm/Senior $345 97%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $345 97%
Aetna $367 - $449 103%
Blue Shield 65 Plus $424 119%
Apa Aco $435 122%
Altamed Senior Services $442 124%
Brand New Day Sr $442 124%
Central Health Plan Of Ca Senior Hmo $442 124%
Health Net Senior Hmo $442 124%
Medicare (plans) $442 - $4,000 124%
Humana $449 126%
La Care Exchange $449 126%
Miscellaneous Senior Hmo $449 126%
Tricare $449 126%
UnitedHealthcare $449 - $602 126%
Wellcare Senior Hmo $449 126%
Molina Health Plan $450 126%
Alignment Senior Hmo $464 130%
Health Net Salud Con Hmo $546 153%
Molina Exchange $552 155%
Health Net Exchange $553 155%
Miscellaneous Work Comp Hmo $597 167%
Ahmc Health $662 186%
Allied Physicians Of Ca Commercial $673 189%
Health Net Ppo/Epo/Pos $936 263%
Cigna $940 - $1,513 264%
Blue Shield Value Network Exchange $2,685 753%
Blue Shield Hmo/Ppo $2,994 840%
Self Pay $3,323 932%
Health Net Exchange Enhanced Ppo $3,522 988%
Kaiser Commercial $5,150 1445%
Multiplan $6,646 1865%
Miscellaneous Commercial Ppo/Hmo $8,307 2331%
Stewart Mg Senior Hmo $8,307 2331%

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