CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Sonora

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $460
  • Cash Discount Price: $790
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Sonora is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $790. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.29x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$790

Average discount available for prompt cash payment at this facility.

Insurance Median
$460

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: $790 (222%)
Insurance Median: $460 (129%)
Cash: $790 (222% of Medicare)
Ins. Median: $460 (129% 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 Shield Mcare $85 - $481 24%
Central Ca Alliance Mcr Adv Profee Only $85 24%
Healthnet Mcr Adv $85 - $481 24%
Tricare $85 - $481 24%
UnitedHealthcare $85 - $7,697 24%
Ah Employee Health Plan - All Plans $94 - $865 26%
Cigna $105 - $8,504 29%
Greatwest Oa/Pos/Hmo $111 - $7,609 31%
Greatwest Ppo - All Other Plans $111 - $8,057 31%
Healthnet - All Other Plans $124 - $7,842 35%
Western Growers/Pinnacle - All Plans $127 - $4,745 36%
Blue Shield Epn $157 - $5,285 44%
Blue Shield - All Other Plans $166 - $5,459 47%
Bc Mcal $282 79%
Celtic Ca Hlth Well Mcal - All Plans $282 - $557 79%
Central Ca Alliance Mcal $282 - $458 79%
Healthnet Mcal $282 - $602 79%
Medi-Cal $282 - $404 79%
Beech Street- All Plans $305 - $7,609 86%
Trpn - Three Rivers Ppo - All Plans $305 - $7,162 86%
Central Ca Alliance Ccs Mcal $339 - $458 95%
Central Ca Alliance Chdp Mcal $339 - $458 95%
Central Ca Alliance Comm Profee Only-All Other Pla $339 95%
Aetna $462 - $3,885 130%
Phs Prime Health Srvcs-All Plans $481 135%
Bc Exchange $963 270%
Bc Non-Mcs - All Other Plans $1,070 300%
Bc Mcs $1,284 360%
Kaiser - All Plans $4,476 1256%
Affordable Health - All Plans $8,057 2260%
Interplan - All Plans $8,057 2260%
Multiplan - All Plans $8,057 2260%
Phcs Ppo - All Plans $8,057 2260%
Stanilaus Foundation - All Plans $8,504 2386%

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