CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Coastal Communities Hospital
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $507
- Cash Discount Price: $7,682
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Coastal Communities Hospital is $507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,682. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.42x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$7,682
Average discount available for prompt cash payment at this facility.
Insurance Median
$507
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: $7,682 (2155%)
Insurance Median: $507 (142%)
Cash: $7,682 (2155% of Medicare)
Ins. Median: $507 (142% 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 |
|---|---|---|
| Altamed Mcal Hmo (Ancillary) | $282 | 79% |
| Healthcare Partners | $282 | 79% |
| Hollywood Presbyterian | $282 - $447 | 79% |
| Kaiser | $282 - $4,731 | 79% |
| Medi-Cal Hmo/Non Contract | $282 | 79% |
| Medicaid / KanCare | $282 | 79% |
| Kpc Healthcare Inc | $338 - $561 | 95% |
| Monarch | $393 - $464 | 110% |
| Altamed Health Services | $395 - $447 | 111% |
| Caloptima | $395 - $449 | 111% |
| Choc Health Alliance | $395 | 111% |
| County Of Orange | $395 | 111% |
| Family Choice | $395 | 111% |
| Heritage Provider Network | $395 - $3,004 | 111% |
| Prospect Health Plan | $395 - $673 | 111% |
| Champus | $431 | 121% |
| Blue Shield | $447 - $1,701 | 125% |
| Central Health Plan Of California | $447 | 125% |
| Champion Health Plan | $447 | 125% |
| Citizens Choice Health Plan | $447 | 125% |
| Clever Care Health Plan | $447 | 125% |
| Easy Choice Health Plan | $447 | 125% |
| For Your Benefit | $447 | 125% |
| Health Net | $447 - $5,078 | 125% |
| Healthcare Partners Sr Hmo | $447 | 125% |
| Heritage | $447 | 125% |
| Humana | $447 | 125% |
| Onecare | $447 | 125% |
| Onecare Connect | $447 | 125% |
| Other Senior Non Contract | $447 | 125% |
| Scan Health Plan | $447 | 125% |
| UnitedHealthcare | $447 - $531 | 125% |
| Us Federal Marshall/Department Of Immigration | $447 | 125% |
| Velocity Provider Network Sr | $447 | 125% |
| Verda Health Plan Sr | $447 | 125% |
| Veterans Administration | $447 | 125% |
| Choice Physicians Network | $449 | 126% |
| Imperial Health Plan Of Ca | $449 | 126% |
| Innovative Integrated Health | $449 | 126% |
| Medcare Partners | $449 | 126% |
| Self Pay Ab774/Cbo Use Only | $449 | 126% |
| Us Dept Of Labor | $449 | 126% |
| Victim Of Violent Crime | $449 | 126% |
| Victoria Hospice | $449 | 126% |
| Monarch Health Plan | $495 | 139% |
| Cigna | $496 - $4,993 | 139% |
| Brand New Day | $500 | 140% |
| Prime Health Srvs | $513 - $6,146 | 144% |
| Coventry Auto Network | $537 | 151% |
| Prime Health Srvs/Wc | $537 | 151% |
| Interplan | $543 - $5,762 | 152% |
| County Of Orange/Custody/Advanced Medmgt | $558 | 157% |
| Coventry Wc | $558 | 157% |
| Veterans Evaluation Services | $561 | 157% |
| Multiplan | $585 - $5,377 | 164% |
| Three Rivers | $585 | 164% |
| Velocity National Provider Network Wc | $597 | 167% |
| Workers Comp State Of California | $597 | 167% |
| Staywell/Island Home Ins | $628 | 176% |
| Aetna | $713 | 200% |
| Three Rivers Network | $785 | 220% |
| Velocity National Provider Network Ppo | $785 | 220% |
| Ihhi Reciprocity | $1,000 | 281% |
| First Health | $4,033 | 1131% |
| Magellan | $4,609 | 1293% |
| Networks By Design | $5,377 | 1509% |
| Networks By Design Wc | $5,377 | 1509% |
| Healthsmart | $5,762 | 1617% |
| Prime Health | $5,762 | 1617% |
| Pnoa-Provider Network Of America | $6,146 | 1724% |
| Prime Health Srvs/Network | $6,530 | 1832% |
| Lucet Behavioral Health Sr | $7,682 | 2155% |
| Managed Health Network | $7,682 | 2155% |
| Other Insurance Loa | $7,682 | 2155% |
| Other Non Contracted Plans | $7,682 | 2155% |
| Private Pay | $7,682 | 2155% |
| Us Behavioral Health Plan | $7,682 | 2155% |
| Vitas Hospice | $7,682 | 2155% |