CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $524
  • Cash Discount Price: $11,158
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at UCSF Health St. Mary's Hospital is $524. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,158. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.47x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$11,158

Average discount available for prompt cash payment at this facility.

Insurance Median
$524

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: $11,158 (3130%)
Insurance Median: $524 (147%)
Cash: $11,158 (3130% of Medicare)
Ins. Median: $524 (147% 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.

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
California Health & Wellness $282 79%
Health Plan San Mateo $282 - $524 79%
Kaiser $282 - $8,480 79%
Partnership Health Plan $282 79%
Blue Cross Blue Shield $349 - $5,872 98%
Sfhp $395 111%
Health Net $413 - $524 116%
Brown Toland $431 - $524 121%
Aetna $524 - $1,953 147%
Blue Shield Ca $524 147%
Chinese Community $524 - $7,253 147%
Connected Care $524 147%
Humana $524 147%
Mhn $524 147%
United $524 - $828 147%
Kentfield $1,521 427%
Oscar $1,720 483%
Cigna $3,119 - $3,318 875%
Magellan $6,695 1878%
Healthsmart $7,811 2191%
Multiplan $9,261 2598%
Us Behavioral Health $11,158 3130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals