CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mayers Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,426
Cash Discount Price: $1,192
vs. Medicare Baseline: 4.00x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mayers Memorial Hospital is $1,426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,192. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.00x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$1,192

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,426

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: $1,192 (334%)

Insurance Median: $1,426 (400%)

Cash: $1,192 (334% of Medicare)

Ins. Median: $1,426 (400% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 400% of the Medicare baseline (a markup of 300%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Shield Ca Va	$81 - $1,342	23%
Blue Shield Mcr Adv	$81 - $1,342	23%
Tricare	$81 - $1,412	23%
Health Net Mcr Adv	$85 - $1,412	24%
Arcadian Health Services-All Plans	$89 - $1,412	25%
Imperial Health Plan-All Plans	$96 - $1,596	27%
Cigna	$233 - $2,033	65%
Corvel Ppo-All Plans	$233 - $2,033	65%
Coventry/First Health-All Plans	$233 - $2,033	65%
Integrated Hp-All Plans	$233 - $2,033	65%
Interplan-All Plans	$233 - $2,033	65%
Medi-Cal	$245 - $404	69%
Blue Cross Blue Shield	$1,426 - $1,829	400%
Health Net Prison	$1,539	432%
Partnership Hp-All Plans	$1,617	454%
Blue Shield Ca Exchange	$1,829	513%
Blue Shield-All Other Plans	$2,033	570%
Hmn-All Plans	$2,033	570%
Multiplan Phcs-All Plans	$2,033	570%
Pfmc-All Plans	$2,033	570%
Superior Ca-All Plans	$2,033	570%
Health Net-All Other Plans	$2,129	597%
Pacificare-All Plans	$2,140	600%

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 $1,192.
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 Mayers Memorial Hospital 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.