CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Tulare

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $447
  • Cash Discount Price: $867
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Tulare is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $867. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.25x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$867

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: $867 (243%)
Insurance Median: $447 (125%)
Cash: $867 (243% 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
Cigna $48 - $4,067 13%
Blue Shield Mcare $85 - $449 24%
Fhcn Pace Mcr Adv - All Plans $85 - $449 24%
Medicare (plans) $85 - $449 24%
Tricare $85 - $449 24%
UnitedHealthcare $85 - $6,363 24%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $85 24%
Blue Cross Blue Shield $93 - $1,395 26%
Ah Employee Health Plan - All Plans $94 - $808 26%
Incentive Hlth - All Plans $94 - $808 26%
Hs Interplan-All Plans $106 - $5,886 30%
Cal Forensic Med Grp - All Plans $111 - $583 31%
Healthnet Hmo/Ppo - All Other Plans $124 - $1,196 35%
Blue Shield Epn $157 - $2,125 44%
Blue Shield-All Other Plans $166 - $2,949 47%
Aetna $230 - $1,432 65%
Ccipa Medi-Cal - All Plans $282 - $525 79%
Healthnet Medi-Cal $282 - $530 79%
Medi-Cal $282 - $404 79%
Upn-United Physcn Ntwrk Mcal Profee Only $282 79%
Dignity Mcal Op Only $445 125%
Independence Op Only - All Plans $445 125%
Dignity Mcr Op Only - All Other Plans $449 126%
Prime Health - All Plans $449 126%
Prison Hlthcre - All Plans $574 161%
Bright Health - All Plans $651 183%
Network By Design-All Plans $3,000 842%
Western Growers - All Plans $4,041 1134%
Multiplan - All Plans $7,467 2095%

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