CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Tehachapi Valley

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $331
Cash Discount Price: $211
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Tehachapi Valley is $331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.36x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$331

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: $211 (87%)

Insurance Median: $331 (136%)

Cash: $211 (87% of Medicare)

Ins. Median: $331 (136% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$46 - $4,444	19%
Healthnet Mcare	$82 - $1,081	34%
Tricare	$82 - $1,081	34%
UnitedHealthcare	$82 - $2,788	34%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$82 - $1,081	34%
Network Providers- All Plans	$89 - $1,384	37%
Ah Employee Health Plan - All Plans	$90 - $3,016	37%
Aetna	$94 - $674	39%
Oscar Health Plan- All Plans	$94 - $390	39%
Coventry- All Plans	$98 - $5,121	40%
Healthnet- All Other Plans	$119 - $4,381	49%
Centivo - All Plans	$122 - $2,432	50%
Western Grwrs/Pinnacle - All Plans	$122 - $2,390	50%
Medicare (plans)	$148 - $1,081	61%
Blue Shield Epn- All Other Plans	$150 - $2,407	62%
Blue Shield Non-Epn	$159 - $2,845	65%
Medi-Cal	$174 - $257	71%
Universal Ipa Mcal Op/Profee Only	$174 - $257	71%
Kaiser Ip/Op Only- All Other Plans	$255 - $1,859	105%
Kaiser Medi-Cal Ip/Op Only	$257	105%
Bc Mcal	$265	109%
Healthnet Medi-Cal	$315	129%
Khs-Kern Hlth Systm Mcal	$331	136%
Klhp-Kern Legacy Epo -All Other Plans	$390 - $2,845	160%
Blue Cross Blue Shield	$406 - $1,420	167%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $211.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.