CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Sonora

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $307
  • Cash Discount Price: $752
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Sonora is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $752. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$752

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

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: $752 (308%)
Insurance Median: $307 (126%)
Cash: $752 (308% of Medicare)
Ins. Median: $307 (126% 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 Shield Mcare $81 - $329 33%
Central Ca Alliance Mcr Adv Profee Only $81 33%
Healthnet Mcr Adv $81 - $329 33%
Tricare $81 - $329 33%
UnitedHealthcare $81 - $7,328 33%
Ah Employee Health Plan - All Plans $89 - $592 37%
Cigna $100 - $8,097 41%
Greatwest Oa/Pos/Hmo $106 - $7,245 43%
Greatwest Ppo - All Other Plans $106 - $7,671 43%
Healthnet - All Other Plans $118 - $7,466 48%
Western Growers/Pinnacle - All Plans $121 - $4,517 50%
Blue Shield Epn $150 - $5,285 62%
Blue Shield - All Other Plans $159 - $5,459 65%
Bc Mcal $174 71%
Celtic Ca Hlth Well Mcal - All Plans $174 - $354 71%
Central Ca Alliance Mcal $174 - $291 71%
Healthnet Mcal $174 - $382 71%
Medi-Cal $174 - $257 71%
Aetna $242 - $3,885 99%
Central Ca Alliance Ccs Mcal $261 - $291 107%
Central Ca Alliance Comm Profee Only-All Other Pla $261 107%
Beech Street- All Plans $291 - $7,245 119%
Central Ca Alliance Chdp Mcal $291 - $323 119%
Trpn - Three Rivers Ppo - All Plans $291 - $6,818 119%
Phs Prime Health Srvcs-All Plans $329 135%
Bc Exchange $505 207%
Bc Non-Mcs - All Other Plans $561 230%
Bc Mcs $673 276%
Kaiser - All Plans $4,262 1748%
Affordable Health - All Plans $7,671 3147%
Interplan - All Plans $7,671 3147%
Multiplan - All Plans $7,671 3147%
Phcs Ppo - All Plans $7,671 3147%
Stanilaus Foundation - All Plans $8,097 3322%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals