CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Menifee Global Medical Center
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $625
- Cash Discount Price: $4,246
- vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Menifee Global Medical Center is $625. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,246. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.75x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$4,246
Average discount available for prompt cash payment at this facility.
Insurance Median
$625
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: $4,246 (1191%)
Insurance Median: $625 (175%)
Cash: $4,246 (1191% of Medicare)
Ins. Median: $625 (175% 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 |
|---|---|---|
| Tricare | $275 - $417 | 77% |
| Health Net Medi-Cal | $282 | 79% |
| Hpn Mcal | $282 | 79% |
| Ic | $282 - $4,504 | 79% |
| Kaiser Medi-Cal | $282 | 79% |
| Prospect Health Plan Mcal Hmo | $290 | 81% |
| Blue Cross Blue Shield | $296 | 83% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $333 | 93% |
| Molina Medi-Cal | $333 | 93% |
| Altamed Mcal Hmo | $395 | 111% |
| Altamed Mcal/Pace | $395 | 111% |
| Choice Physicians Network | $395 | 111% |
| Iehp Medi-Cal | $423 | 119% |
| Aetna | $447 - $2,461 | 125% |
| Altamed Comm Hmo (Ancillary) | $447 - $4,504 | 125% |
| Altamed Health Services Senior | $447 | 125% |
| Altamed Sr/Pace | $447 | 125% |
| Blue Shield Senior | $447 | 125% |
| Central Health Plan Senior | $447 | 125% |
| Clever Care Health Plan Sr | $447 | 125% |
| For Your Benefit Senior | $447 | 125% |
| Guidant Health Plan Senior | $447 | 125% |
| Health Net Senior | $447 | 125% |
| Hpn Senior | $447 | 125% |
| Humana | $447 | 125% |
| Kaiser Senior | $447 | 125% |
| Lasalle Medical Assoc (Ancillary) Senior | $447 | 125% |
| Managed Health Network Sr | $447 | 125% |
| Medicare (plans) | $447 | 125% |
| Neighborhood Healthcare Pace | $447 | 125% |
| Primecare Senior | $447 | 125% |
| Prospect Health Plan Sr Hmo | $447 | 125% |
| Scan Senior | $447 | 125% |
| Sr Capitation | $447 | 125% |
| UnitedHealthcare | $447 - $589 | 125% |
| Veterans Administration | $447 | 125% |
| Imperial Health Plan Of Ca | $449 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $449 | 126% |
| Point Comfort Underwriters | $449 | 126% |
| Self Pay/Ab774/Charity Discount | $449 | 126% |
| Health Net Enhanced Ppo | $453 - $625 | 127% |
| Cigna | $485 - $3,603 | 136% |
| Align Senior Care | $500 | 140% |
| Welbehealth Sr/Pace | $500 | 140% |
| Prime Health Services Senior | $513 | 144% |
| Molina Covered Ca | $536 | 150% |
| Coventry | $537 - $558 | 151% |
| Prime Health Services Wcomp | $537 | 151% |
| Iehp Covered Ca | $558 | 157% |
| Three Rivers Wcomp | $585 | 164% |
| Workers Comp Non-Contracted | $597 | 167% |
| Prospect Health Plan Comm Hmo | $603 | 169% |
| Hpn Commercial/Covered Ca | $625 | 175% |
| Primecare Commercial | $635 | 178% |
| Health Net Comm | $670 | 188% |
| Three Rivers Network | $785 | 220% |
| Velocity | $785 - $2,027 | 220% |
| Blue Shield Epn | $1,255 | 352% |
| Blue Shield Commercial | $1,478 | 415% |
| First Health Commercial | $2,094 - $2,365 | 587% |
| Multiplan Ppo | $2,792 - $3,153 | 783% |
| Multiplan Wcomp | $2,792 - $3,153 | 783% |
| Pnoa-Provider Network Of America | $3,190 - $3,603 | 895% |
| Prime Health Services Commercial | $3,190 - $3,603 | 895% |
| Ava Hospice | $3,988 - $4,504 | 1119% |
| Kaiser Commercial | $3,988 - $4,504 | 1119% |
| Living Waters Hospice | $3,988 - $4,504 | 1119% |
| Managed Health Network | $3,988 - $4,504 | 1119% |
| Other Insurance Loa | $3,988 - $4,504 | 1119% |
| Pacific Valley Hospice | $3,988 - $4,504 | 1119% |
| Private Pay | $3,988 - $4,504 | 1119% |
| Silverado Hospice | $3,988 - $4,504 | 1119% |
| Vna Hospice | $3,988 - $4,504 | 1119% |