CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: AHMC Seton Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $633
  • Cash Discount Price: $7,240
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at AHMC Seton Medical Center is $633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,240. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.78x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$7,240

Average discount available for prompt cash payment at this facility.

Insurance Median
$633

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: $7,240 (2031%)
Insurance Median: $633 (178%)
Cash: $7,240 (2031% of Medicare)
Ins. Median: $633 (178% 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
Blue Cross Blue Shield $89 - $4,699 25%
Health Plan Of San Mateo Healthworx $250 70%
Cmac $282 79%
Hill Physicians Medical Group Inc $282 - $320 79%
Kaiser $282 - $7,421 79%
Medi-Cal $282 79%
Health Plan Of San Mateo $284 80%
Asian American Medical Group $338 - $633 95%
San Mateo County/San Mateo County General Hospital $347 97%
Brown And Toland Medical Group $352 - $633 99%
Veterans Administration (Va) $355 100%
North East Medical Services $395 - $498 111%
San Francisco Health Plan $395 111%
Jade Health Care Mg $418 - $498 117%
Aetna $498 - $847 140%
Blue Shield Of California $498 - $3,926 140%
Brand New Day $498 - $633 140%
Care Advantage $498 140%
Chinese Community Health Plan $498 - $4,244 140%
For Your Benefit $498 140%
Healthnet Seniority $498 140%
Humana $498 140%
Imperial Health Plan $498 140%
Medicare (plans) $498 140%
Pacificare $498 140%
Tricare $504 141%
Apcmg $507 - $760 142%
Canopy Health $507 - $912 142%
Covid-19 Uninsured Program $507 142%
UnitedHealthcare $507 - $602 142%
Easy Choice Hospital Services $517 145%
Central Health Plan $538 151%
Ahmc Health $633 178%
Knox-Keene Act $633 178%
Athens Administrators $674 189%
Corvel Healthcare $674 189%
Multiplan/Bce Emergis $674 - $6,788 189%
Work Comp Other $674 189%
Self Pay $1,358 - $3,077 381%
Health Net $4,298 1206%
Cigna $5,181 - $5,759 1454%
Interplan Corporation $5,430 1523%
Private Healthcare Sytems Inc $6,788 1904%
The First Health Network $6,788 1904%
Beech Street Corporation $7,240 2031%
Healthcare Foundation Of San Mateo $7,240 2031%
Choicecare Network $7,692 2158%
Multiplan $7,692 2158%
Mills Peninsula Health Services $8,145 2285%
Indemnity $9,050 2539%
Workers Compensation Federal $9,050 2539%

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