CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Providence St Mary Medical Center

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$326
about 1.3× the $244 Medicare rate · typically $243–$621
modeled estimate · not a bill or quote
What this hospital charges insurers
$373
About the fair price
about $47 over the fair price · 1.5× Medicare
Medicare pays $244 Fair price $326 This hospital $373 Cash price $1,924 Hospital's list price $4,009

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $373

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $326 (about 1.3× the $244 Medicare rate). Providence St Mary Medical Center charges insurers about $373, or about $1,924 in cash — about the fair price. Located in Apple Valley, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

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
UnitedHealthcaremajor $373 153%
Blue Cross Blue Shieldmajor $1,246 - $1,495 511%
Aetnamajor $307 - $763 126%
Kaiser Permanentemajor $778 319%
+ 1 smaller / regional plan $325 - $365

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 18300 Highway 18, Apple Valley, CA 92307
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals