CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sherman Oaks Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $447
  • Cash Discount Price: $446
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sherman Oaks Hospital is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $446. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.25x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.
Cash / Self-Pay
$446

Average discount available for prompt cash payment at this facility.

Insurance Median
$447

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: $446 (125%)
Insurance Median: $447 (125%)
Cash: $446 (125% of Medicare)
Ins. Median: $447 (125% 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

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
Aids Healthcare Foundation $203 - $455 57%
Blue Shield Of Promise $203 57%
Health Net Of Ca $203 - $652 57%
L.A Care Health Plan $203 - $446 57%
Molina $203 - $446 57%
Traditional Medi-Cal $203 57%
Blue Cross Blue Shield $296 83%
Alignment $446 125%
Blue Shield Of Ca, Va $446 125%
Elite Health Plan $446 125%
Imperial Health Plan $446 125%
Managed Health Network $446 125%
Medicare (plans) $446 125%
Renal Payer Solutions $446 125%
Tricare $446 125%
Usa Senior Care Network $446 125%
Brand New Day $451 - $670 127%
Corvel $509 143%
Zelis Healthcare $509 143%
Americas Choice Provider Network $520 146%
Multiplan $520 146%
Prime Health Services $520 146%
Three Rivers $520 146%
Healthsmart Preferred Network $525 147%
Provider Select $530 149%
Provider Network Of America $536 150%
Aetna $571 160%
Ca Foundation For Medical Center $588 165%
Worker Comp $588 165%
Employer Direct Healthcare $625 175%
Naphcare $692 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals