CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Tulare

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $295
  • Cash Discount Price: $627
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Tulare is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $627. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.21x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$627

Average discount available for prompt cash payment at this facility.

Insurance Median
$295

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: $627 (257%)
Insurance Median: $295 (121%)
Cash: $627 (257% of Medicare)
Ins. Median: $295 (121% 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
Cigna $45 - $2,905 18%
Blue Shield Mcare $81 - $307 33%
Fhcn Pace Mcr Adv - All Plans $81 - $307 33%
Medicare (plans) $81 - $307 33%
Tricare $81 - $307 33%
UnitedHealthcare $81 - $4,544 33%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $81 33%
Blue Cross Blue Shield $86 - $731 35%
Ah Employee Health Plan - All Plans $89 - $552 37%
Incentive Hlth - All Plans $89 - $552 37%
Hs Interplan-All Plans $102 - $4,204 42%
Cal Forensic Med Grp - All Plans $106 - $399 43%
Healthnet Hmo/Ppo - All Other Plans $118 - $818 48%
Aetna $121 - $750 50%
Blue Shield Epn $150 - $1,983 62%
Blue Shield-All Other Plans $159 - $2,742 65%
Ccipa Medi-Cal - All Plans $174 - $334 71%
Healthnet Medi-Cal $174 - $336 71%
Medi-Cal $174 - $257 71%
Upn-United Physcn Ntwrk Mcal Profee Only $174 71%
Dignity Mcal Op Only $282 116%
Independence Op Only - All Plans $282 116%
Dignity Mcr Op Only - All Other Plans $307 126%
Prime Health - All Plans $307 126%
Prison Hlthcre - All Plans $393 161%
Bright Health - All Plans $445 183%
Western Growers - All Plans $2,886 1184%
Network By Design-All Plans $3,000 1231%
Multiplan - All Plans $5,333 2188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals