CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Clovis Community Medical Center
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $322
- Cash Discount Price: $5,760
- vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Clovis Community Medical Center is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,760. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.90x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$5,760
Average discount available for prompt cash payment at this facility.
Insurance Median
$322
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: $5,760 (1616%)
Insurance Median: $322 (90%)
Cash: $5,760 (1616% of Medicare)
Ins. Median: $322 (90% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $85 - $449 | 24% |
| Aetna | $85 - $1,450 | 24% |
| Blue Cross Blue Shield | $85 - $4,578 | 24% |
| Blue Shield | $85 - $4,097 | 24% |
| Blue Shield 65 Plus Hmo Ehs | $85 - $449 | 24% |
| Blue Shield 65 Plus Hmo First Choice | $85 - $449 | 24% |
| Blue Shield Hmo-Cvmp/Medpro | $85 - $449 | 24% |
| Blue Shield Promise - Imperial | $85 - $449 | 24% |
| Blue Shield Saint Agnes | $85 - $449 | 24% |
| Blue Shield Sante | $85 - $449 | 24% |
| Brand New Day | $85 - $449 | 24% |
| Bscphp - Dhmso | $85 - $449 | 24% |
| Bscphp - First Choice | $85 - $449 | 24% |
| Bscphp Hmo - First Choice | $85 - $449 | 24% |
| Care1St Hmo - Ehs | $85 - $449 | 24% |
| Cares Act Provider Relief Fund | $85 - $449 | 24% |
| Cigna | $85 - $4,465 | 24% |
| Gemcare Hmo | $85 - $449 | 24% |
| Generic | $85 - $449 | 24% |
| Generic Bscphp | $85 - $449 | 24% |
| Generic Victims Of Crime | $85 - $449 | 24% |
| Hartford Life Supplement | $85 - $449 | 24% |
| Healthnet Hmo - Cvmp/Medpro | $85 - $449 | 24% |
| Healthnet Hmo - Dhmso | $85 - $449 | 24% |
| Healthnet Hmo - La Salle | $85 - $449 | 24% |
| Healthnet Hmo - Sante | $85 - $449 | 24% |
| Healthnet Sante | $85 - $449 | 24% |
| Healthnet Sante - Sub Cap Dual Risk | $85 - $449 | 24% |
| Healthnet Sante Dual Risk | $85 - $449 | 24% |
| Humana | $85 - $6,120 | 24% |
| Medi-Cal Innovative Integrated Health | $85 - $449 | 24% |
| Medicare (plans) | $85 - $449 | 24% |
| Meritage Blue Shield 65 Plus | $85 - $449 | 24% |
| Meritage Brand New Day | $85 - $449 | 24% |
| Meritage Healthnet Hmo | $85 - $449 | 24% |
| Railroad Part A | $85 - $449 | 24% |
| Railroad Part A & B | $85 - $449 | 24% |
| Railroad Part B | $85 - $449 | 24% |
| Sante | $85 - $449 | 24% |
| Sante Sub Cap Healthnet Seniority | $85 - $449 | 24% |
| Sante Sub Cap-Blue Shield/Sante | $85 - $449 | 24% |
| Sante-Blue Shield/Sante | $85 - $449 | 24% |
| Sante-Healthnet Seniority | $85 - $449 | 24% |
| Sante-Sub Cap Ma Brand New Day | $85 - $449 | 24% |
| Scan Health Plan | $85 - $449 | 24% |
| Sequoia Pace - Peak Tpa | $85 - $449 | 24% |
| Todays Pyramid | $85 - $449 | 24% |
| UnitedHealthcare | $85 - $3,775 | 24% |
| Us Marshal | $85 - $449 | 24% |
| Victims Of Crime | $85 - $449 | 24% |
| Well Path (Cfmg) | $85 - $7,920 | 24% |
| Wellcare | $85 - $449 | 24% |
| Alignment Health Plan | $94 - $494 | 26% |
| Champion Health Plan Of California Ma | $94 - $494 | 26% |
| Innovative Integrated Health Community Plans Hmo | $94 - $494 | 26% |
| Imperial Health Plan Hmo | $98 - $516 | 27% |
| Correctcare Integrated Health | $111 - $583 | 31% |
| Coalinga State Hospital | $170 - $897 | 48% |
| Naphcare Inc-Mendota | $183 - $965 | 51% |
| Cal Caloptima | $282 | 79% |
| Ccs Fresno | $282 | 79% |
| Ccs Kern | $282 | 79% |
| Ccs Kings | $282 | 79% |
| Ccs Madera/Sacramento | $282 | 79% |
| Ccs Mariposa | $282 | 79% |
| Ccs Merced | $282 | 79% |
| Ccs Stanislaus | $282 | 79% |
| Ccs Tulare | $282 | 79% |
| Chdp | $282 | 79% |
| Fresno County Funded Specialty Care | $282 | 79% |
| Generic Care Out Of County | $282 | 79% |
| Generic Ccs Other Counties | $282 | 79% |
| Genetically Handicapped Person | $282 | 79% |
| Gold Coast Medi-Cal | $282 | 79% |
| Medi-Cal Alameda Alliance For Health | $282 | 79% |
| Medi-Cal Blue Shield Promise Health | $282 | 79% |
| Medi-Cal California Health & Wellness Plan | $282 | 79% |
| Medi-Cal Cencal Health | $282 | 79% |
| Medi-Cal Community Health Group | $282 | 79% |
| Medi-Cal Contra Costa Health Plan | $282 | 79% |
| Medi-Cal Health Plan Of San Mateo | $282 | 79% |
| Medi-Cal Inland Empire Health | $282 | 79% |
| Medi-Cal Kern Family Health | $282 | 79% |
| Medi-Cal La Care Health | $282 | 79% |
| Medi-Cal Molina | $282 | 79% |
| Medi-Cal Partnership Health Plan Of Ca | $282 | 79% |
| San Francisco Health Plan Medi-Cal | $282 | 79% |
| Santa Clara Family Health Plan - Premier Health | $282 | 79% |
| Santa Clara Family Health Plan - Valley Health | $282 | 79% |
| Kaiser | $356 | 100% |
| Health Plan Of San Joaquin | $423 | 119% |
| Sequoia Pace | $423 | 119% |
| Adventist -Mcl Calviva Sub Cap | $465 | 130% |
| Healthnet | $543 - $4,226 | 152% |
| Central Valley Medical Providers | $1,800 - $5,040 | 505% |
| Community Care | $1,836 | 515% |
| Employer 90/40 | $2,880 | 808% |
| Central Ca Indian Health | $3,960 | 1111% |
| Nx Health Network Ppo | $3,960 | 1111% |
| Healthsmart | $4,896 - $5,760 | 1374% |
| Coventry Health Care (First Health Network) | $5,400 | 1515% |
| Network By Design | $5,400 | 1515% |
| Generic Multiplan | $6,120 | 1717% |
| Phcs | $6,120 | 1717% |