CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Greater El Monte Community Hospital
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $538
- Cash Discount Price: $4,967
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Greater El Monte Community Hospital is $538. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,967. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.51x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$4,967
Average discount available for prompt cash payment at this facility.
Insurance Median
$538
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: $4,967 (1394%)
Insurance Median: $538 (151%)
Cash: $4,967 (1394% of Medicare)
Ins. Median: $538 (151% 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 |
|---|---|---|
| Blue Cross Blue Shield | $89 - $2,484 | 25% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $200 | 56% |
| Universal Care | $250 - $1,250 | 70% |
| Aids Health Foundation | $282 - $442 | 79% |
| Altamed Health Network | $282 - $442 | 79% |
| Associated Hispanic Physicians | $282 - $404 | 79% |
| Avanti | $282 - $538 | 79% |
| Beverly Hospital | $282 - $494 | 79% |
| Brand New Day | $282 - $561 | 79% |
| Emanate Health | $282 - $561 | 79% |
| Health Net Foundation | $282 - $2,765 | 79% |
| Healthy Way La | $282 | 79% |
| Hollywood Presbyterian Adv Med Mcal | $282 | 79% |
| Hollywood Presbyterian Medpoint Mcal | $282 | 79% |
| La Care Health Plan | $282 - $2,732 | 79% |
| Other Non Contracted Medi-Cal Hmo | $282 | 79% |
| State Of California | $282 | 79% |
| Central Health Plan | $300 - $504 | 84% |
| Clinica Medica Familiar | $300 - $546 | 84% |
| Veterans Administration | $314 | 88% |
| Ahmc Reciprocity Agreement | $345 | 97% |
| Caloptima | $414 | 116% |
| Apa/Aco Inc | $442 | 124% |
| Blue Shield Of California | $442 - $2,994 | 124% |
| Cms | $442 | 124% |
| Easy Choice Health Plan | $442 | 124% |
| Health Net Inc | $442 - $3,517 | 124% |
| Other Non Contracted Senior Hmo | $442 | 124% |
| Pacific Alliance Medical Center Reciprocal Contract | $442 | 124% |
| Scan Health Plan | $442 | 124% |
| UnitedHealthcare | $442 - $4,264 | 124% |
| Champus Foundation | $449 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $449 | 126% |
| Good Samaritan Medical Practice Assoc | $449 - $2,980 | 126% |
| La Care Covered Direct | $449 | 126% |
| Pacificare Of California | $449 | 126% |
| Self-Pay | $449 | 126% |
| Cost Containment Strategies | $450 | 126% |
| Employee Health Systems Medical Group | $450 | 126% |
| Molina Healthcare Of California | $450 - $561 | 126% |
| Alignment Health Plan | $464 | 130% |
| Molina Healthcare | $464 | 130% |
| Inter Valley Health Plan | $471 | 132% |
| San Miguel Health Plan | $494 | 139% |
| Chinatown Service Center Pace | $530 | 149% |
| Intercomp | $537 | 151% |
| Ahmc Health Self-Insurance Epo | $561 | 157% |
| Knox-Keene Act | $561 | 157% |
| Preferred Health Network | $567 | 159% |
| Interplan | $579 - $3,725 | 162% |
| Athens Administrators | $597 | 167% |
| Multiplan | $597 - $4,222 | 167% |
| Other Non Contracted Work Comp | $597 | 167% |
| Bella Vista Medical Group Ipa | $993 - $2,235 | 279% |
| Global Care Medical Group Ipa | $993 - $2,235 | 279% |
| Alta Med Health Services Med Grp | $1,242 | 348% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,490 | 418% |
| Cigna | $1,565 | 439% |
| California Thoroughbred Horesmans Foundation | $2,484 | 697% |
| In Custody Police Dept | $3,229 | 906% |
| Community Care Network | $3,974 | 1115% |
| Health Payors Organization | $4,470 | 1254% |
| Commercial Non Contract | $4,967 | 1394% |
| Medi-Cal Sub Acute | $4,967 | 1394% |
| Nuclear Medicine/Whmc | $4,967 | 1394% |
| One Legacy | $4,967 | 1394% |