CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Valley Children's Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$372
about 1.5× the $244 Medicare rate · typically $206–$654
modeled estimate · not a bill or quote
What this hospital charges insurers
$275
Below the fair price — a good deal
about $97 under the fair price · 1.1× Medicare
Medicare pays $244 Fair price $372 This hospital $275 Hospital's list price $6,859

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $275

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $372 (about 1.5× the $244 Medicare rate). Valley Children's Hospital charges insurers about $275 — below the fair price — a good deal. Located in Madera, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $270 - $844 111%
Blue Cross Blue Shieldmajor $316 - $5,204 130%
Aetnamajor $4,596 1885%
Kaiser Permanentemajor $253 - $4,458 104%
Health Net $2,414 - $4,491 990%
+ 26 smaller / regional plans $174 - $5,830
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens