CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: AHMC Seton Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $433
  • Cash Discount Price: $7,149
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at AHMC Seton Medical Center is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,149. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.78x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$7,149

Average discount available for prompt cash payment at this facility.

Insurance Median
$433

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: $7,149 (2933%)
Insurance Median: $433 (178%)
Cash: $7,149 (2933% of Medicare)
Ins. Median: $433 (178% 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
Blue Cross Blue Shield $55 - $4,699 23%
Health Plan Of San Mateo Healthworx $124 51%
Hill Physicians Medical Group Inc $135 - $174 55%
Health Plan Of San Mateo $142 58%
Cmac $174 71%
Kaiser $174 - $7,328 71%
Medi-Cal $174 71%
Asian American Medical Group $209 - $433 86%
San Mateo County/San Mateo County General Hospital $214 88%
Brown And Toland Medical Group $218 - $433 89%
Jade Health Care Mg $243 - $341 100%
Veterans Administration (Va) $243 100%
North East Medical Services $244 - $341 100%
San Francisco Health Plan $244 100%
Aetna $341 - $847 140%
Blue Shield Of California $341 - $2,057 140%
Brand New Day $341 - $433 140%
Care Advantage $341 140%
Chinese Community Health Plan $341 - $4,244 140%
For Your Benefit $341 140%
Healthnet Seniority $341 140%
Humana $341 140%
Imperial Health Plan $341 140%
Medicare (plans) $341 140%
Pacificare $341 140%
Tricare $345 142%
Apcmg $346 - $520 142%
Canopy Health $346 - $624 142%
Covid-19 Uninsured Program $346 142%
UnitedHealthcare $346 - $376 142%
Easy Choice Hospital Services $353 145%
Central Health Plan $368 151%
Ahmc Health $433 178%
Knox-Keene Act $433 178%
Athens Administrators $461 189%
Corvel Healthcare $461 189%
Multiplan/Bce Emergis $461 - $6,702 189%
Work Comp Other $461 189%
Self Pay $1,340 - $3,038 550%
Health Net $4,298 1763%
Cigna $5,181 - $5,759 2125%
Interplan Corporation $5,362 2200%
Private Healthcare Sytems Inc $6,702 2749%
The First Health Network $6,702 2749%
Beech Street Corporation $7,149 2933%
Healthcare Foundation Of San Mateo $7,149 2933%
Choicecare Network $7,596 3116%
Multiplan $7,596 3116%
Mills Peninsula Health Services $8,042 3299%
Indemnity $8,936 3666%
Workers Compensation Federal $8,936 3666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals