CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Chinese Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $555
Cash Discount Price: $7,223
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Chinese Hospital is $555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,223. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.56x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$7,223

Average discount available for prompt cash payment at this facility.

Insurance Median

$555

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: $7,223 (2026%)

Insurance Median: $555 (156%)

Cash: $7,223 (2026% of Medicare)

Ins. Median: $555 (156% 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
Blue Shield - All Other Plans	$261	73%
Blue Cross Blue Shield	$404 - $707	113%
Medi-Cal	$404	113%
San Francisco Health Plan- All Plans	$404	113%
Hp Of San Mateo Medi-Cal	$497	139%
Aetna	$504 - $1,752	141%
Cchp Mcr Adv	$504	141%
Jade Mcr Adv	$504	141%
Hp Of San Mateo Health Kids/Health Worx-All Other	$538	151%
Blue Shield Medi-Cal	$546	153%
Jade-All Other Plans	$555	156%
On Lok Mcr Adv-All Plans	$555	156%
Asian Medical Group Medi-Cal Op Only	$566	159%
Jade Medi-Cal	$728	204%
Cigna	$3,000	842%
Health Net-All Plans	$3,828	1074%
Cchp-All Other Plans	$6,140	1723%
Hp Of San Mateo Mcr Adv	$6,501	1824%
Asian Medical Group Mcare Op Only-All Other Plans	$7,223	2026%
Bay Area Accountable Care Mcare	$7,223	2026%
Bay Area Accountable Care - All Other Plans	$13,001	3648%

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 $7,223.
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 Chinese Hospital 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.