CT scan, abdomen and pelvis (with contrast)
Facility: Good Samaritan Hospital
Billing Code: 74177 (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 (with contrast) is about $605 (about 1.7× the $356 Medicare rate). Good Samaritan Hospital charges insurers about $1,570, or about $44,564 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 $605. 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 | $828 - $11,364 | 232% |
| Blue Cross Blue Shieldmajor | $223 - $2,878 | 63% |
| Aetnamajor | $2,044 - $5,074 | 573% |
| Cignamajor | $35,651 | 10002% |
| Humanamajor | $31,195 | 8752% |
| Health Net | $26,739 | 7502% |
| + 6 smaller / regional plans | $203 - $35,651 |
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 (with contrast) at other CA hospitals
- Adventist Health Vallejo · Vallejo $114
- Trinity Hospital · Weaverville $141
- Adventist Health Howard Memorial · Willits $148
- Rehabilitation Hospital of Southern California · Rancho Mirage $150
- Adventist Health Tehachapi Valley · Tehachapi $157
- Adventist Health Mendocino Coast · Fort Bragg $166
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $195
- Temecula Valley Hospital · Temecula $242
Insurance negotiated median for the same procedure, sorted lowest first.