CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Whittier Hospital Medical Center
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $375
- Cash Discount Price: $1,266
- vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Whittier Hospital Medical Center is $375. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,266. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$1,266
Average discount available for prompt cash payment at this facility.
Insurance Median
$375
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,266 (519%)
Insurance Median: $375 (154%)
Cash: $1,266 (519% of Medicare)
Ins. Median: $375 (154% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 |
|---|---|---|
| Blue Cross Blue Shield | $50 - $4,688 | 21% |
| Alliance Imaging | $75 | 31% |
| Aids Healthcare Foundation | $174 - $302 | 71% |
| Alta Med Health Network | $174 - $302 | 71% |
| Altamed Health Services Corporation | $174 | 71% |
| Avanti | $174 - $368 | 71% |
| Beverly Hospital | $174 - $338 | 71% |
| Brand New Day | $174 - $377 | 71% |
| Care First Health Plan | $174 | 71% |
| County Of Los Angeles Dept Of Health Services | $174 | 71% |
| Emanate Health | $174 - $377 | 71% |
| Health Net | $174 - $2,765 | 71% |
| Healthy Way La | $174 | 71% |
| Heritage Provider Network | $174 - $414 | 71% |
| Hollywood Presbyterian Adv Med Mcal | $174 | 71% |
| Hollywood Presbyterian Medpoint Mcal | $174 | 71% |
| Kaiser Foundation | $174 - $6,562 | 71% |
| La Care Healthy Families/Healthy Kids | $174 | 71% |
| Medi Caid/ Medi Cal | $174 | 71% |
| Non Contracted Medi-Cal | $174 | 71% |
| Pacific Independent Physician Association | $174 - $2,812 | 71% |
| Prospect Health Plan | $174 - $491 | 71% |
| Synermed | $174 - $307 | 71% |
| Aetna | $193 - $2,640 | 79% |
| La Care Health Plan | $200 - $4,000 | 82% |
| Private Pay | $212 | 87% |
| Veterans Administration | $215 | 88% |
| Caloptima | $244 - $302 | 100% |
| Monarch Healthplan | $244 | 100% |
| Alta Los Angeles Hospitals Inc | $302 | 124% |
| Apa/Aco Inc | $302 | 124% |
| Central Health Plan | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Pacificare Of California | $302 | 124% |
| Scan Health Plan | $302 | 124% |
| Blue Shield Of California | $307 - $4,688 | 126% |
| Caremore | $307 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $307 | 126% |
| La Care Covered Direct | $307 | 126% |
| Pacific Alliance Medical Center | $307 | 126% |
| Self-Pay | $307 | 126% |
| Tricare | $307 | 126% |
| Alignment Health Plan | $317 | 130% |
| Molina Healthcare Of California | $317 | 130% |
| San Miguel Health Plan | $338 | 139% |
| Ahmc Medi-Cal Reciprocity Agreement | $345 | 142% |
| Ahmc Reciprocity | $345 | 142% |
| Allied Physicians Ipa | $350 | 144% |
| Chinatown Service Center Pace | $368 | 151% |
| Applecare Medical Group | $375 | 154% |
| UnitedHealthcare | $376 - $2,900 | 154% |
| Ahmc Health | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Molina Medical Center | $384 - $450 | 158% |
| Fmc Los Angeles County | $388 - $7,031 | 159% |
| Interplan Health Group | $396 | 162% |
| Athens Administrators Ahmc Work Comp | $408 | 167% |
| Misc 1 | $408 | 167% |
| Multiplan Wc | $408 | 167% |
| Cost Containment | $450 | 185% |
| Davita Healthcare Partners | $618 | 254% |
| Physicians Healthways Medical Corporation | $750 | 308% |
| Health Net Inc | $752 - $2,300 | 308% |
| Healthnet | $921 - $3,954 | 378% |
| Physician Healthways | $938 | 385% |
| Central Health Plan Of California | $1,200 | 492% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 615% |
| Prospect Medical | $1,500 | 615% |
| Cigna | $1,520 | 624% |
| Value Healthplan Of California | $1,600 | 656% |
| Care 1St Health Plan | $2,100 | 861% |
| Great-West Healthcare Of California | $2,500 | 1026% |
| Prohealth | $2,500 | 1026% |
| Wear And Wood | $2,812 - $3,750 | 1154% |
| Edward Medical Group | $3,281 | 1346% |
| Coventry Health Care | $3,500 | 1436% |
| Coventry Health Care National Network | $3,500 | 1436% |
| New Horizon Medical Group Inc | $5,625 | 2308% |
| Universal Care | $6,094 - $6,562 | 2500% |
| Asi/Flex | $6,562 | 2692% |
| Us Comp Care | $6,562 | 2692% |
| Community Care Network | $7,031 | 2884% |
| Interplan Corporation | $7,031 | 2884% |
| Managed Care Administrators | $7,031 | 2884% |
| Multiplan | $7,969 | 3269% |
| Commercial Non Contract | $9,375 | 3846% |
| Medi-Cal Sub Acute | $9,375 | 3846% |
| One Legacy | $9,375 | 3846% |