CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Greater El Monte Community Hospital
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $384
- Cash Discount Price: $4,846
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Greater El Monte Community Hospital is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,846. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.58x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$4,846
Average discount available for prompt cash payment at this facility.
Insurance Median
$384
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: $4,846 (1988%)
Insurance Median: $384 (158%)
Cash: $4,846 (1988% of Medicare)
Ins. Median: $384 (158% 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 |
|---|---|---|
| In Custody-Ca Highway Patrol | $20 | 8% |
| Blue Cross Blue Shield | $55 - $2,423 | 23% |
| Aids Health Foundation | $174 - $302 | 71% |
| Altamed Health Network | $174 - $302 | 71% |
| Associated Hispanic Physicians | $174 - $276 | 71% |
| Avanti | $174 - $368 | 71% |
| Beverly Hospital | $174 - $338 | 71% |
| Brand New Day | $174 - $384 | 71% |
| Emanate Health | $174 - $384 | 71% |
| Health Net Foundation | $174 - $2,765 | 71% |
| Healthy Way La | $174 | 71% |
| Hollywood Presbyterian Adv Med Mcal | $174 | 71% |
| Hollywood Presbyterian Medpoint Mcal | $174 | 71% |
| La Care Health Plan | $174 - $2,665 | 71% |
| Other Non Contracted Medi-Cal Hmo | $174 | 71% |
| State Of California | $174 | 71% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $200 | 82% |
| Veterans Administration | $215 | 88% |
| Universal Care | $250 - $1,250 | 103% |
| Caloptima | $256 | 105% |
| Central Health Plan | $300 - $312 | 123% |
| Clinica Medica Familiar | $300 - $533 | 123% |
| Apa/Aco Inc | $302 | 124% |
| Blue Shield Of California | $302 - $2,423 | 124% |
| Cms | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| Health Net Inc | $302 - $3,431 | 124% |
| Other Non Contracted Senior Hmo | $302 | 124% |
| Pacific Alliance Medical Center Reciprocal Contract | $302 | 124% |
| Scan Health Plan | $302 | 124% |
| UnitedHealthcare | $302 - $4,160 | 124% |
| Champus Foundation | $307 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $307 | 126% |
| Good Samaritan Medical Practice Assoc | $307 - $2,908 | 126% |
| La Care Covered Direct | $307 | 126% |
| Pacificare Of California | $307 | 126% |
| Self-Pay | $307 | 126% |
| Alignment Health Plan | $317 | 130% |
| Molina Healthcare | $317 | 130% |
| Inter Valley Health Plan | $322 | 132% |
| Molina Healthcare Of California | $322 - $450 | 132% |
| San Miguel Health Plan | $338 | 139% |
| Ahmc Reciprocity Agreement | $345 | 142% |
| Chinatown Service Center Pace | $362 | 149% |
| Intercomp | $367 | 151% |
| Ahmc Health Self-Insurance Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Preferred Health Network | $388 | 159% |
| Interplan | $396 - $3,634 | 162% |
| Athens Administrators | $408 | 167% |
| Multiplan | $408 - $4,119 | 167% |
| Other Non Contracted Work Comp | $408 | 167% |
| Cost Containment Strategies | $450 | 185% |
| Employee Health Systems Medical Group | $450 | 185% |
| Bella Vista Medical Group Ipa | $969 - $2,181 | 398% |
| Global Care Medical Group Ipa | $969 - $2,181 | 398% |
| Alta Med Health Services Med Grp | $1,212 | 497% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,454 | 596% |
| Cigna | $1,565 | 642% |
| California Thoroughbred Horesmans Foundation | $2,423 | 994% |
| In Custody Police Dept | $3,150 | 1292% |
| Community Care Network | $3,877 | 1590% |
| Health Payors Organization | $4,361 | 1789% |
| Commercial Non Contract | $4,846 | 1988% |
| Medi-Cal Sub Acute | $4,846 | 1988% |
| Nuclear Medicine/Whmc | $4,846 | 1988% |
| One Legacy | $4,846 | 1988% |