CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Banner Lassen Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,938
Cash Discount Price: $2,384
vs. Medicare Baseline: 16.15x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Banner Lassen Medical Center is $3,938. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,384. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.15x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.

Cash / Self-Pay

$2,384

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,938

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: $2,384 (978%)

Insurance Median: $3,938 (1615%)

Cash: $2,384 (978% of Medicare)

Ins. Median: $3,938 (1615% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1615% of the Medicare baseline (a markup of 1515%). 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 Cross Blue Shield	$48	20%
Partnership Healthplan Of Ca	$288	118%
Banner Health	$1,717	704%
UnitedHealthcare	$1,717 - $3,896	704%
Network Providers, Llc	$2,233	916%
Imperial Health Plan Of California, Inc	$2,319	951%
Blue Shield Of California	$3,644	1495%
Multiplan	$3,770	1547%
Cigna	$3,980	1633%
Coventry	$4,021	1650%
First Health	$4,021	1650%
Health Net	$4,063	1667%

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 $2,384.
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 Banner Lassen Medical Center 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.