CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Casa Colina Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$442
about 1.2× the $356 Medicare rate · typically $414–$576
modeled estimate · not a bill or quote
What this hospital charges insurers
$449
About the fair price
about $7 over the fair price · 1.3× Medicare
Medicare pays $356 Fair price $442 This hospital $449 Cash price $583 Hospital's list price $1,108

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $114 Priciest $449

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $442 (about 1.2× the $356 Medicare rate). Casa Colina Hospital charges insurers about $449, or about $583 in cash — about the fair price. Located in Pomona, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $449 - $555 126%
Blue Cross Blue Shieldmajor $449 - $820 126%
Aetnamajor $449 - $555 126%
Cignamajor $618 - $621 173%
Humanamajor $449 - $555 126%
Kaiser Permanentemajor $445 - $449 125%
Health Net $449 - $455 126%
WellCare $449 126%
+ 25 smaller / regional plans $359 - $1,011
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals