CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Twin Cities

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $6,579
Cash Discount Price: $1,303
vs. Medicare Baseline: 18.46x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Twin Cities is $6,579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,303. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 18.46x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.

Cash / Self-Pay

$1,303

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,579

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: $1,303 (366%)

Insurance Median: $6,579 (1846%)

Cash: $1,303 (366% of Medicare)

Ins. Median: $6,579 (1846% 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 1846% of the Medicare baseline (a markup of 1746%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$448	126%
Cencal Mcr Adv - All Other Plans	$448	126%
Tricare	$448	126%
UnitedHealthcare	$448 - $6,268	126%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans	$582	163%
Ah Employee Health Plan - All Plans	$806	226%
Hpn-Heritage Prov Ntwrk-All Plans	$5,500	1543%
Nbd-Ntwrks By Design Exlus-All Other Plans	$6,458	1812%
Blue Shield Epn	$6,699	1879%
Blue Shield Hmo/Pos	$7,704	2161%
Nbd-Ntwrks By Design Non-Exlus	$7,859	2205%
Blue Shield Epo/Ppo - All Other Plans	$9,025	2532%
Chn-Community Hlth Ntwrk-All Plans	$10,235	2872%
Pacific Health Alliance-All Plans	$16,748	4699%
Medi-Cal	$18,609	5221%
Cencal Mcal	$21,214	5952%
Blue Shield Promise Mcal	$22,368	6276%
Ccah-Centrl Ca Allince Mcal-All Plans	$24,192	6787%
Coalinga-All Plans	$24,192	6787%

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 $1,303.
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 Adventist Health Twin Cities 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.