CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Chinese Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $369
Cash Discount Price: $5,465
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Chinese Hospital is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,465. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$5,465

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $5,465 (2242%)

Insurance Median: $369 (151%)

Cash: $5,465 (2242% of Medicare)

Ins. Median: $369 (151% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Blue Cross Blue Shield	$257 - $483	105%
Medi-Cal	$257	105%
San Francisco Health Plan- All Plans	$257	105%
Blue Shield - All Other Plans	$261	107%
Hp Of San Mateo Medi-Cal	$316	130%
Hp Of San Mateo Health Kids/Health Worx-All Other	$342	140%
Aetna	$345 - $918	142%
Cchp Mcr Adv	$345	142%
Jade Mcr Adv	$345	142%
Blue Shield Medi-Cal	$347	142%
Asian Medical Group Medi-Cal Op Only	$360	148%
Jade-All Other Plans	$379	155%
On Lok Mcr Adv-All Plans	$379	155%
Jade Medi-Cal	$462	190%
Health Net-All Plans	$2,896	1188%
Cigna	$3,000	1231%
Cchp-All Other Plans	$4,645	1905%
Hp Of San Mateo Mcr Adv	$4,918	2017%
Asian Medical Group Mcare Op Only-All Other Plans	$5,465	2242%
Bay Area Accountable Care Mcare	$5,465	2242%
Bay Area Accountable Care - All Other Plans	$9,837	4035%

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 $5,465.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Chinese Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.