CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Tehachapi Valley

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $480
Cash Discount Price: $293
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Tehachapi Valley is $480. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.35x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$293

Average discount available for prompt cash payment at this facility.

Insurance Median

$480

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: $293 (82%)

Insurance Median: $480 (135%)

Cash: $293 (82% of Medicare)

Ins. Median: $480 (135% 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.

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	$48 - $6,154	13%
Healthnet Mcare	$86 - $1,497	24%
Tricare	$86 - $1,497	24%
UnitedHealthcare	$86 - $3,860	24%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$86 - $1,497	24%
Network Providers- All Plans	$93 - $1,916	26%
Ah Employee Health Plan - All Plans	$94 - $4,176	26%
Oscar Health Plan- All Plans	$98 - $570	27%
Aetna	$99 - $1,286	28%
Coventry- All Plans	$103 - $7,092	29%
Healthnet- All Other Plans	$125 - $6,068	35%
Western Grwrs/Pinnacle - All Plans	$127 - $3,310	36%
Centivo - All Plans	$128 - $3,369	36%
Blue Shield Epn- All Other Plans	$157 - $3,333	44%
Blue Shield Non-Epn	$166 - $3,940	47%
Medicare (plans)	$206 - $1,497	58%
Medi-Cal	$282 - $404	79%
Universal Ipa Mcal Op/Profee Only	$282 - $404	79%
Kaiser Ip/Op Only- All Other Plans	$354 - $2,575	99%
Kaiser Medi-Cal Ip/Op Only	$404	113%
Bc Mcal	$416	117%
Healthnet Medi-Cal	$496	139%
Khs-Kern Hlth Systm Mcal	$521	146%
Klhp-Kern Legacy Epo -All Other Plans	$542 - $3,940	152%
Blue Cross Blue Shield	$563 - $1,420	158%

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 $293.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.