CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Loma Linda University Children's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,486
  • Cash Discount Price: $2,558
  • vs. Medicare Baseline: 4.17x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Loma Linda University Children's Hospital is $1,486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,558. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.17x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.
Cash / Self-Pay
$2,558

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,486

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: $2,558 (718%)
Insurance Median: $1,486 (417%)
Cash: $2,558 (718% of Medicare)
Ins. Median: $1,486 (417% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 417% of the Medicare baseline (a markup of 317%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Alpha Care Medical Group $454 - $681 127%
Dignity Health $454 - $681 127%
Epic Health Plan $454 - $2,960 127%
Inland Empire Health Plan (Iehp) $454 - $473 127%
Kaiser Foundation Hospitals $454 - $4,936 127%
Upland Medical Group $454 127%
Vantage Medical Group $454 - $681 127%
Molina Healthcare Of Ca $572 - $608 160%
Heritage Provider Network $744 209%
Adventist Health $793 - $1,480 222%
Lluh Dept Of Risk Management $952 - $1,776 267%
UnitedHealthcare $1,486 417%
Blue Shield Of California $1,603 - $2,428 450%
Global Benefits Group $2,380 - $4,441 668%
Temecula Valley Physicians Medical Group $2,380 668%
Trivalley Medical Group $2,380 668%
Blue Cross Blue Shield $2,436 683%
Cigna $2,539 - $2,936 712%
Networks By Design $2,579 - $4,811 724%
Aetna $2,754 773%
Multiplan $3,174 - $5,921 890%
Galaxy Health $3,372 - $6,291 946%
Prime Health Services $3,372 - $6,291 946%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11234 Anderson Street Suite A, Loma Linda, CA 92354
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals