CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Stanford Health Care Tri-Valley
Billing Code: 74177 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,087
about 3.1× the $356 Medicare rate · typically $523–$2,539
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $1,087 Cash price $4,915 Hospital's list price $12,287
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Blue Cross Blue Shieldmajor | $2,436 - $2,643 | 683% |
| Health Net | $510 | 143% |
Self-Pay How to get the cash price
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Other Procedures at Stanford Health Care Tri-Valley
Compare: CT scan, abdomen and pelvis (with contrast) at other CA hospitals
- Adventist Health Vallejo · Vallejo $114
- Trinity Hospital · Weaverville $141
- Adventist Health Howard Memorial · Willits $148
- Rehabilitation Hospital of Southern California · Rancho Mirage $150
- Adventist Health Tehachapi Valley · Tehachapi $157
- Adventist Health Mendocino Coast · Fort Bragg $166
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $195
- Temecula Valley Hospital · Temecula $242
Insurance negotiated median for the same procedure, sorted lowest first.