CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Seneca District Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,306
  • Cash Discount Price: $2,784
  • vs. Medicare Baseline: 9.28x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Seneca District Hospital is $3,306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,784. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.28x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.
Cash / Self-Pay
$2,784

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,306

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: $2,784 (781%)
Insurance Median: $3,306 (928%)
Cash: $2,784 (781% of Medicare)
Ins. Median: $3,306 (928% 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 928% of the Medicare baseline (a markup of 828%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medi-Cal $404 113%
Amthem Bc Mcal $410 115%
Ambetter / Centene $493 138%
UnitedHealthcare $1,322 - $3,410 371%
Partnership Hp-All Plans $1,415 397%
Tricare $2,436 683%
Imperial Hp Ma-All Plans $2,753 772%
Blue Cross Blue Shield $2,850 - $3,132 800%
Blue Shield Ipf/Ca Exchange $3,101 870%
Beech Street Corp- All Plans $3,306 928%
Cigna $3,306 928%
Integrated Hp-All Plans $3,306 928%
Interplan Corp- All Plans $3,306 928%
Medincrease- All Plans $3,306 928%
Multiplan- All Plans $3,306 928%
Pacificare - All Plans $3,306 928%
Provider Ntwrk Of America-All Plans $3,306 928%
Alliance- All Plans $3,376 947%
Community Care Network - All Plans $3,376 947%
Coventry- All Plans $3,410 957%
Northern Nevada Health Network- All Plans $3,410 957%
Superior California Ppo - All Plans $3,410 957%
Blue Shield Of Ca- All Other Plans $3,445 967%
Healthnet - All Other Plans $3,445 967%
Three Rivers- All Plans $3,445 967%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Brentwood Drive, Chester, CA 96020
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals