CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lucile Salter Packard Children's Hsp at Stanford

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $7,470
Cash Discount Price: $7,687
vs. Medicare Baseline: 30.64x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lucile Salter Packard Children's Hsp at Stanford is $7,470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,687. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 30.64x the Medicare baseline. Located in 725 Welch Road, Palo Alto, CA.

Cash / Self-Pay

$7,687

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,470

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: $7,687 (3153%)

Insurance Median: $7,470 (3064%)

Cash: $7,687 (3153% of Medicare)

Ins. Median: $7,470 (3064% 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 3064% of the Medicare baseline (a markup of 2964%). 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
Cigna	$6,488	2662%
Aetna	$7,241	2970%
Meritain Health	$7,241	2970%
Blue Shield	$7,470	3064%
Blue Shield Out Of State	$7,470	3064%
Health Net	$8,000	3282%
Sutter	$28,538	11707%
UnitedHealthcare	$28,538	11707%

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 $7,687.
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 Lucile Salter Packard Children's Hsp at Stanford 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.