CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Monterey Park Hospital
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $345
- Cash Discount Price: $9,124
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Monterey Park Hospital is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,124. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$9,124
Average discount available for prompt cash payment at this facility.
Insurance Median
$345
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: $9,124 (3743%)
Insurance Median: $345 (142%)
Cash: $9,124 (3743% of Medicare)
Ins. Median: $345 (142% 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 | $55 - $4,562 | 23% |
| La Care Health Plan | $116 - $675 | 48% |
| Alhambra Community Dialysis Unit Inc | $157 - $5,474 | 64% |
| Accountable Ipa | $174 | 71% |
| Aids Health Foundation | $174 - $302 | 71% |
| Alta Med Health Services Corp | $174 - $2,281 | 71% |
| Altamed Health Network | $174 - $302 | 71% |
| Altamed Health Services | $174 | 71% |
| Applecare Medical Group | $174 - $325 | 71% |
| Assess Ipa | $174 | 71% |
| Avanti | $174 - $368 | 71% |
| Bella Vista Medical Group Ancillary | $174 | 71% |
| Beverly Hospital | $174 - $338 | 71% |
| Brand New Day | $174 - $384 | 71% |
| Care 1St Mcl/Gar Cap | $174 | 71% |
| Central Health Plan | $174 | 71% |
| Community Health Plan | $174 | 71% |
| Emanate Health | $174 - $384 | 71% |
| Family Health Alliance Medical Group | $174 | 71% |
| Health Net Medi Cal | $174 | 71% |
| Healthnet Inc | $174 | 71% |
| Healthy Way La | $174 | 71% |
| Hollywood Presbyterian Adv Med Mcal | $174 | 71% |
| Hollywood Presbyterian Medpoint Mcal | $174 | 71% |
| La Care | $174 - $307 | 71% |
| Maxi Med Inc/Ipa | $174 - $307 | 71% |
| Medi Cal | $174 | 71% |
| Medical Managed Care Program | $174 | 71% |
| Molina Healthcare | $174 | 71% |
| Other Non-Contracted Medi-Cal | $174 | 71% |
| Preferred Ipa | $174 - $384 | 71% |
| Preferred Ipa Of California | $174 | 71% |
| Aetna | $193 - $2,640 | 79% |
| Access Ipa Ancillary | $200 | 82% |
| Associated Hispanic Physicians Ancillary | $200 | 82% |
| Esperanza Medical Group Ipa | $200 | 82% |
| Veterans Administration | $215 | 88% |
| Bella Vista Medical Group | $246 - $1,400 | 101% |
| Caloptima Direct | $256 | 105% |
| Senior Citizens Choice | $272 | 112% |
| Alignment Health Plan | $297 | 122% |
| Mri/Ct Greater El Monte Hospital | $300 | 123% |
| Apa/Aco Inc | $302 | 124% |
| Blue Shield Of California | $302 - $4,562 | 124% |
| Cms | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| First Health Senior | $302 | 124% |
| Foundation Health Plan | $302 | 124% |
| Health Net | $302 - $2,300 | 124% |
| Health Net Inc | $302 - $3,954 | 124% |
| Humana | $302 | 124% |
| Medicare (plans) | $302 - $317 | 124% |
| Scan Health Plan | $302 | 124% |
| Secure Horizons | $302 | 124% |
| Ucla/Impact Cancer | $302 | 124% |
| UnitedHealthcare | $302 - $6,387 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $307 | 126% |
| La Care Covered Direct | $307 | 126% |
| Self-Pay | $307 | 126% |
| Molina Healthcare Medi-Connect | $317 | 130% |
| San Miguel Health Plan | $338 | 139% |
| Ahmc Healthcare Inc | $345 | 142% |
| Mri/Mra/Eladh | $375 | 154% |
| Physician Healthways | $375 - $912 | 154% |
| Pacificare | $376 - $1,578 | 154% |
| Ahmc Health Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Molina Healthcare Of California | $384 | 158% |
| Preferred Health Network | $385 - $7,299 | 158% |
| Interplan | $393 - $6,843 | 161% |
| Asi Flex Ppo W/C | $405 | 166% |
| Athens Administrators | $405 | 166% |
| Indemnity W Comp Fee Schedule | $405 | 166% |
| Multiplan | $405 - $7,755 | 166% |
| Employee Health Systems Medical Group | $450 | 185% |
| Molina Medical Centers | $450 | 185% |
| Universal Care M Cal/Advantage Health Network | $650 | 267% |
| One Health Plan | $775 - $5,474 | 318% |
| Altamed Health Services Corporation | $800 | 328% |
| Crown City Medical Group Inc | $800 | 328% |
| Health Net Of California | $914 - $2,765 | 375% |
| Tenet Reciprocity | $1,000 | 410% |
| Universal Care | $1,000 - $1,250 | 410% |
| Central Health Plan Of California | $1,200 | 492% |
| Community Health Plan M Cal Joy Ipa | $1,400 | 574% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 615% |
| Cigna | $1,508 | 619% |
| Global Care Medical Group Ipa | $1,825 - $4,106 | 749% |
| Healthnet/Ehs Capitation | $1,825 | 749% |
| Healthnet | $2,365 | 970% |
| Healthcare Partners Affiliates Medical Group | $3,186 | 1307% |
| Pacific Independent Physician Association | $3,650 | 1497% |
| Greater Los Angeles Dialysis Inc | $5,474 | 2246% |
| Choice Care Network | $5,931 | 2433% |
| Corvel Corporation | $6,387 | 2620% |
| Bce Emergis Corp | $7,755 | 3181% |
| Commercial Non Contract | $9,124 | 3743% |
| Mri/Mra/Alhambra Hospital | $9,124 | 3743% |
| One Legacy | $9,124 | 3743% |