CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $404
Cash Discount Price: $3,684
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Shriners Hospitals for Children Northern Calif is $404. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,684. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.13x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$3,684

Average discount available for prompt cash payment at this facility.

Insurance Median

$404

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: $3,684 (1034%)

Insurance Median: $404 (113%)

Cash: $3,684 (1034% of Medicare)

Ins. Median: $404 (113% 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

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
Kaiser Permanente	$100 - $404	28%
Aetna	$252 - $479	71%
Medicaid / KanCare	$252	71%
Soonercare	$254	71%
Gateway Health Plan	$263	74%
Blue Cross Blue Shield	$283 - $404	79%
Cigna	$306	86%
Amerigroup Nv	$308	86%
Ambetter / Centene	$316 - $521	89%
Health Plan Of Nv	$342	96%
Molina Healthcare Of Ms	$342	96%
UnitedHealthcare	$382	107%
Amerihealth Caritas Nc	$393	110%
Amerihealth Caritas Sc	$393	110%
Caresource Of Oh	$393	110%
Central California Alliance For Health	$404	113%
Health Plan Of San Joaquin	$404	113%
Molina Healthcare Of Ca	$404	113%
Partnership Healthplan Of Ca	$404	113%
Northbay Healthcare	$453	127%
Providence Health Plan	$460	129%
Sana Benefits	$479 - $634	134%
Sutter Medical Foundation	$498	140%
Health Net Of Ca	$521	146%
Healthchoice Of Oklahoma	$714	200%

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 $3,684.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shriners Hospitals for Children Northern Calif is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.