CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Community Memorial Hospital - Ventura

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $463
Cash Discount Price: $1,034
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Community Memorial Hospital - Ventura is $463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,034. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.30x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.

Cash / Self-Pay

$1,034

Average discount available for prompt cash payment at this facility.

Insurance Median

$463

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: $1,034 (290%)

Insurance Median: $463 (130%)

Cash: $1,034 (290% of Medicare)

Ins. Median: $463 (130% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Seaview	$265	74%
Medi-Cal	$282	79%
Non Contracted	$282 - $454	79%
Valley Care	$345 - $442	97%
Medicaid / KanCare	$412 - $603	116%
Gold Coast Health Plan	$422 - $603	118%
Tricare	$431	121%
Ventura County Health Care Plan	$431	121%
Aetna	$454 - $2,223	127%
Blue Cross Blue Shield	$454 - $1,379	127%
California Workers Compensation	$454	127%
Medicare (plans)	$454 - $463	127%
Wellcare Of California	$454	127%
Alignment Health Plan	$463	130%
Humana	$463	130%
Scan Health Plan	$463	130%
UnitedHealthcare	$463 - $824	130%
Cigna	$961	270%
Multiplan	$1,034	290%
Health Net Commercial	$1,212	340%
Kaiser Commercial	$1,278	359%
Blue Shield Epn	$1,399	393%
Blue Shield Commercial	$1,568	440%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,034.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Community Memorial Hospital - Ventura is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.