CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health White Memorial Montebello

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$472
about 1.3× the $356 Medicare rate · typically $440–$728
modeled estimate · not a bill or quote
What this hospital charges insurers
$454
About the fair price
about $18 under the fair price · 1.3× Medicare
Medicare pays $356 Fair price $472 This hospital $454 Cash price $454 Hospital's list price $1,161

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 $114 Priciest $454

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $472 (about 1.3× the $356 Medicare rate). Adventist Health White Memorial Montebello charges insurers about $454, or about $454 in cash — about the fair price. Located in Montebello, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

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
Blue Cross Blue Shieldmajor $271 - $1,140 76%
Aetnamajor $442 - $454 124%
Cignamajor $663 186%
Kaiser Permanentemajor $404 - $454 113%
Health Net $404 - $615 113%
Molina $404 113%
Oscar Health $476 134%
+ 13 smaller / regional plans $334 - $454
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals