CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Anaheim Global Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $336
  • Cash Discount Price: $5,653
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Anaheim Global Medical Center is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,653. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.38x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$5,653

Average discount available for prompt cash payment at this facility.

Insurance Median
$336

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: $5,653 (2319%)
Insurance Median: $336 (138%)
Cash: $5,653 (2319% of Medicare)
Ins. Median: $336 (138% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Altamed Mcal Hmo (Ancillary) $174 71%
Healthcare Partners $174 71%
Hollywood Presbyterian $174 71%
Kaiser $174 - $3,481 71%
Medi-Cal Hmo/Non Contract $174 71%
Prime Health Services $174 - $4,805 71%
State Of California $174 - $408 71%
Brand New Day $209 - $384 86%
Cigna $226 - $4,522 93%
Altamed $244 - $305 100%
Caloptima $244 - $307 100%
Choc Health Alliance $244 100%
County Of Orange $244 - $5,653 100%
Family Choice Mcal $244 100%
Heritage Provider Network $244 - $3,392 100%
Prospect Health Plan $244 - $460 100%
Monarch Health Plan $249 - $314 102%
Altamed Health Services $290 - $305 119%
Champus $295 121%
Aetna $305 - $374 125%
Astiva $305 125%
Blue Shield Of California $305 - $1,164 125%
California Health Plan $305 125%
Central Health Plan Of California Inc $305 125%
Champion Health Plan $305 125%
Citizens Choice $305 125%
Clever Care Health Plan $305 125%
Easy Choice $305 125%
For Your Benefit $305 125%
Health Net Inc $305 - $3,901 125%
Healthcare Partners Sr Hmo $305 125%
Hollywood Presbyerian $305 125%
Humana $305 125%
Medicare (plans) $305 125%
Monarch $305 125%
Onecare $305 125%
Other Sr Non Contract $305 125%
Physicians For Healthy Hospitals $305 125%
Scan $305 125%
St Joseph Hospital Sr $305 125%
UnitedHealthcare $305 - $336 125%
Us Federal Marshall/Department Of Immigration $305 125%
Velocity National Provider Network Sr $305 125%
Verda Health Plan $305 125%
Veterans Administration $305 125%
Choice Physicians Network $307 126%
Imperial Health Plan Of Ca $307 126%
Innovative Integrated Health $307 126%
Medcare Partners Health Plan $307 126%
Self Pay/Ab774/Cbo Use Only $307 126%
Us Dept Of Labor $307 126%
Victim Of Violent Crime $307 126%
Victim Of Violent Crime (Mep) $307 126%
Victoria Hospice $307 126%
Healthcare Partners Hmo $331 136%
Align Sr Care $342 140%
Coventry Health $367 - $382 151%
Interplan $371 - $4,240 152%
Veterans Evaluation Services $384 158%
Multiplan $400 - $3,957 164%
Three Rivers Network $400 - $537 164%
Velocity National Provider Network Wc $408 167%
Staywell/Island Home Ins $430 176%
Naphcare $476 195%
Health Net $526 - $3,901 216%
Velocity National Provider Network Ppo $537 220%
Ihhi Reciprocity $1,000 410%
Velocity National Provider Network Auto Med Ppo $2,544 1044%
First Health $2,968 1218%
Magellan Behavioral Health $3,392 1391%
Primecare Medical Network Inc $3,392 1391%
Networks By Design $3,957 1623%
Healthsmart Preferred Network $4,240 1739%
Provider Network Of America $4,522 1855%
Ahmc Healthcare $5,653 2319%
Lucet Bh Scan Sr $5,653 2319%
Managed Health Network $5,653 2319%
Other Insurance Loa $5,653 2319%
Other Non Contracted Plans $5,653 2319%
Private Pay $5,653 2319%
Usbhpc $5,653 2319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 S Anaheim Blvd, Anaheim, CA 92805
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals