CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,767
  • Cash Discount Price: $1,750
  • vs. Medicare Baseline: 7.76x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Hazel Hawkins Memorial Hospital is $2,767. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,750. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.76x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
$1,750

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,767

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: $1,750 (491%)
Insurance Median: $2,767 (776%)
Cash: $1,750 (491% of Medicare)
Ins. Median: $2,767 (776% 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 776% of the Medicare baseline (a markup of 676%). 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
Triwest - All Plans $339 95%
Tricare $349 98%
Blue Cross Blue Shield $404 - $5,035 113%
Kaiser Mcal $404 113%
Medi-Cal $404 113%
Valley Hp Mcal $404 113%
Blue Shield Mcare $553 - $957 155%
Caremore Med Adv - All Plans $553 - $957 155%
Kaiser Med Adv $553 - $957 155%
Central Hp Med Adv $581 - $1,004 163%
Ccah Mcal - All Plans $647 182%
UnitedHealthcare $757 - $3,776 212%
Valley Hp Covered Ca $1,529 - $2,643 429%
Valley Hp Preferred $1,529 - $2,643 429%
Kaiser Comm - All Other Plans $1,719 - $2,971 482%
Blue Shield Of Ca - All Other Plans $1,765 - $3,051 495%
Valley Hp Classic - All Other Plans $1,835 - $3,172 515%
Beech Street Corp Ppo - All Plans $2,476 - $4,280 695%
Cigna $2,476 - $4,280 695%
Corvel Ppo - All Plans $2,476 - $4,280 695%
First Health Ppo - All Plans $2,476 - $4,280 695%
Great West Ppo - All Plans $2,476 - $4,280 695%
Nx Health Network - All Plans $2,476 - $4,280 695%
Interplan Ppo - All Plans $2,563 - $4,431 719%
Bce Emergis/Multi Ppo - All Plans $2,622 - $4,532 736%
Healthnet Hmo $2,622 - $4,532 736%
Healthnet Ppo - All Other Plans $2,622 - $4,532 736%
Metracomp Wc Ppo - All Plans $2,622 - $4,532 736%
One Hp Ppo - All Plans $2,622 - $4,532 736%
Admar Ppo - All Plans $2,651 - $4,582 744%
Pacific Hlth Alliance - All Plans $2,680 - $4,632 752%
Ccn Ppo - All Other Plans $2,767 - $4,783 776%
Choicecare Ppo/Hmo - All Plans $2,767 - $4,783 776%
Coastal Hlthcre Ppo/Hmo - All Plans $2,767 - $4,783 776%
Ccn (W/C) $2,913 - $5,035 817%
Central Coast Ppo - All Other Plans $2,913 - $5,035 817%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals