CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Children's Hosp of Los Angeles
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $195
- Cash Discount Price: $278
- vs. Medicare Baseline: 0.55x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Children's Hosp of Los Angeles is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.55x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$278
Average discount available for prompt cash payment at this facility.
Insurance Median
$195
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: $278 (78%)
Insurance Median: $195 (55%)
Cash: $278 (78% of Medicare)
Ins. Median: $195 (55% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Inland Empire Health Plan | $42 - $278 | 12% |
| Medi-Cal | $42 - $278 | 12% |
| Molina | $42 - $278 | 12% |
| Medicaid / KanCare | $83 - $278 | 23% |
| Shriners Hospital | $83 | 23% |
| Beech Street | $111 | 31% |
| Incentive Health Network | $111 | 31% |
| Non-Contract Payors | $111 | 31% |
| Health Net | $116 - $348 | 33% |
| Emanate Health Medical Center Mmc | $125 | 35% |
| Kaiser | $130 - $159 | 36% |
| Axminster Medical Group | $133 - $678 | 37% |
| Facey Medical Group | $133 - $678 | 37% |
| St. John'S Health Clinic | $133 - $678 | 37% |
| Accarent Health | $139 | 39% |
| Altamed | $139 - $380 | 39% |
| Citrus Valley Phys Grp | $139 - $650 | 39% |
| Gemcare Ipa | $139 - $639 | 39% |
| La Care | $139 - $278 | 39% |
| Managed Care Systems | $139 - $639 | 39% |
| Mercy Care | $139 | 39% |
| Pioneer Prov Ntwk | $139 | 39% |
| Sansum Clinic | $139 | 39% |
| Staywell Insurance | $139 | 39% |
| Book Md | $145 | 41% |
| Applecare Medical Group | $147 - $446 | 41% |
| Good Samaritan Medical Group | $147 - $684 | 41% |
| Blue Shield | $150 - $278 | 42% |
| Aetna | $153 | 43% |
| Bella Vista Med Grp | $153 - $278 | 43% |
| Centinela Valley Ipa | $153 - $278 | 43% |
| Choice Medical Group | $153 | 43% |
| Community Care | $153 | 43% |
| Culinary Health Fund | $153 - $278 | 43% |
| Global Care Medical Group | $153 - $278 | 43% |
| Health Care La Ipa | $153 - $278 | 43% |
| Intl - Global Excel Management | $153 - $556 | 43% |
| Intl - Global Medical Management | $153 | 43% |
| Intl - Quality Health Management | $153 - $278 | 43% |
| National Healthcare Solutions | $153 | 43% |
| Premier Physicians Ntwk | $153 - $278 | 43% |
| Blue Cross Blue Shield | $162 - $497 | 45% |
| Access Medical Group | $164 - $620 | 46% |
| Seoul Medical Group | $164 - $684 | 46% |
| Alhambra Hospital Medical Center | $167 - $278 | 47% |
| Allied Pacific Ipa | $167 - $278 | 47% |
| Bright Medical Associates | $167 | 47% |
| Delta Health Systems | $167 | 47% |
| Emanate Health Medical Center Commercial | $167 | 47% |
| Family Care Specialists | $167 - $278 | 47% |
| Los Angeles Medical Center Ipa | $167 - $278 | 47% |
| Preferred Ipa - Commercial | $167 | 47% |
| Private Hlthcare System | $167 | 47% |
| Sanus Health | $167 | 47% |
| Self-Pay | $167 | 47% |
| UnitedHealthcare | $167 - $461 | 47% |
| Ventura County Health Plan | $167 - $784 | 47% |
| Heritage Provider Network | $168 - $823 | 47% |
| Sierra Health And Life Insurance Company | $174 | 49% |
| Axis Services International | $181 | 51% |
| Calvo Selectcare | $181 | 51% |
| Cedar Sinai Med Grp | $181 | 51% |
| Embassy - Saudi Arabia | $181 | 51% |
| Intl - Aixin Life Insurance Co | $181 - $278 | 51% |
| Intl - Concierge Healthcare Services | $181 | 51% |
| Intl - Erv Travel Services | $181 - $195 | 51% |
| Intl - Msh China Enterprise Services | $181 | 51% |
| Lakewood Health Plan | $181 | 51% |
| Marian Health Services | $181 | 51% |
| Plotkin Health | $181 | 51% |
| Prime Health Services | $181 | 51% |
| Redlands Community Hospital | $181 | 51% |
| Seaside Health Plan | $181 - $278 | 51% |
| Serra Community Med Clinic - Commercial | $181 | 51% |
| Star Healthcare Network Commercial | $181 | 51% |
| Angeles Ipa | $195 - $278 | 55% |
| Beaver Medical Group | $195 | 55% |
| Korean American Med Grp | $195 | 55% |
| Memorialcare Med Foundation | $195 | 55% |
| Multiplan | $195 | 55% |
| Primecare Medical Network | $195 | 55% |
| Associated Hispanic Physicians Ipa | $209 - $278 | 59% |
| Embassy - Kuwait | $209 | 59% |
| Hispanic Physician Ipa | $209 - $278 | 59% |
| Interlink Health Services | $209 | 59% |
| Prospect Medical Group | $209 | 59% |
| Embassy - All Others | $222 | 62% |
| Self-Pay International | $222 | 62% |
| St Francis Medical Center | $265 - $278 | 74% |
| Medicare (plans) | $274 - $442 | 77% |
| Accountable Health | $278 | 78% |
| Adventist Health Physicians | $278 - $808 | 78% |
| Asian Community Medical Group | $278 | 78% |
| Avalon Ipa | $278 | 78% |
| Beverly Hospital | $278 | 78% |
| Cal Care Ipa | $278 | 78% |
| California Pacific Physicians Medical Group | $278 | 78% |
| Caloptima | $278 | 78% |
| Care 1St | $278 | 78% |
| Cencal Health | $278 | 78% |
| Choc Health Alliance | $278 | 78% |
| Community Care Ipa Mmc | $278 | 78% |
| Community Family Care Ipa | $278 | 78% |
| Crown City Medical Group | $278 | 78% |
| Dignity Health | $278 | 78% |
| El Proyecto Del Barrio | $278 | 78% |
| Employee Health Systems Med Grp | $278 | 78% |
| Exceptional Care Medical Group | $278 - $684 | 78% |
| Family Health Alliance Med Grp | $278 | 78% |
| Gold Coast Health Plan | $278 | 78% |
| Healthy New Life Medical Corp | $278 | 78% |
| Hollywood Presbyterian Medical Center | $278 | 78% |
| Imperial Health Holdings Medical Group | $278 | 78% |
| Karing Physicians Medical Group | $278 | 78% |
| Kern Family Health Plan | $278 | 78% |
| Mabuhay Medical Group | $278 | 78% |
| Noble Community Medical Associates | $278 | 78% |
| Pacific Alliance Medical Center | $278 | 78% |
| Point Comfort Underwriters | $278 | 78% |
| Preferred Ipa | $278 | 78% |
| Primary Care And Pediatric Ipa | $278 | 78% |
| Regent Medical Group | $278 | 78% |
| San Judas Med Grp | $278 | 78% |
| Serendib Healthways Mmc | $278 | 78% |
| Serra Community Med Clinic | $278 | 78% |
| Souther California Hosp System - Mmc | $278 | 78% |
| Southern Atlantic Medical Group Mmc | $278 - $445 | 78% |
| Southland San Gabriel Valley Medical Group | $278 | 78% |
| Superior Choice Medical Group | $278 | 78% |
| Valley Presbyterian Hospital | $278 | 78% |
| Watts Healthcare Mmc | $278 | 78% |
| White Memorial Medical Center | $278 | 78% |
| Cigna | $403 | 113% |
| Champus | $435 | 122% |
| Providence Health Network | $790 | 222% |