CT scan, abdomen and pelvis (no contrast)
Facility: Good Samaritan Hospital
Billing Code: 74176 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
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 $414 (about 1.7× the $244 Medicare rate). Good Samaritan Hospital charges insurers about $950, or about $31,817 in cash — well above the fair price. Located in San Jose, CA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $414. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $518 - $8,113 | 212% |
| Blue Cross Blue Shieldmajor | $111 - $1,508 | 46% |
| Aetnamajor | $2,044 - $5,074 | 838% |
| Cignamajor | $25,453 | 10441% |
| Humanamajor | $22,272 | 9136% |
| Health Net | $19,090 | 7831% |
| + 6 smaller / regional plans | $97 - $25,453 |
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.
Other Procedures at Good Samaritan Hospital
Compare: CT scan, abdomen and pelvis (no contrast) at other CA hospitals
- Saint Agnes Medical Center · Fresno $73
- Mayers Memorial Hospital · Fall River Mills $83
- Adventist Health Vallejo · Vallejo $108
- Adventist Health Howard Memorial · Willits $123
- Temecula Valley Hospital · Temecula $126
- Trinity Hospital · Weaverville $132
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $133
- University of California Davis Medical Center · Sacramento $149
Insurance negotiated median for the same procedure, sorted lowest first.