CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Delano

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $718
  • Cash Discount Price: $480
  • vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Delano is $718. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $480. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.01x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$480

Average discount available for prompt cash payment at this facility.

Insurance Median
$718

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: $480 (135%)
Insurance Median: $718 (201%)
Cash: $480 (135% of Medicare)
Ins. Median: $718 (201% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $92 - $1,997 26%
Dignty Hlth Com/Mcr Op Only - All Other Plans $295 83%
Dignty Hlth Mcal Op Only $295 83%
Kaiser Medi-Cal Ip/Op Only $404 113%
Medi-Cal $404 113%
Universal Care Mcal $404 113%
Bakersfield Fam Med Grp-All Plans $449 126%
Healthnet Mcr Adv $449 126%
Kern Mcr Adv Dual Dnsp-All Other Plans $449 126%
Medicare (plans) $449 - $718 126%
Tricare $449 126%
UnitedHealthcare $449 - $1,727 126%
Universal Care Mcr- All Other Plans $449 126%
Healthnet Medi-Cal $481 135%
Kern Health System Mcal $521 146%
Blue Shield Epn - All Other Plans $526 148%
Kaiser Comm Ip/Op Only- All Other Plans $772 217%
Ah Employee Health Plan - All Plans $808 227%
Centivo - All Plans $1,010 283%
Aetna $1,099 308%
Healthnet- All Other Plans $1,191 334%
Blue Shield Non-Epn $1,410 396%
Coventry- All Plans $1,440 404%
County Of Kern Network - All Plans $1,680 471%
Gem Care- All Plans $1,680 471%
Foundation For Medical Care Of Kern County - All P $1,800 505%
Cigna $1,920 539%
Western Growers - All Plans $1,944 545%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals