CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,322
  • Cash Discount Price: $2,207
  • vs. Medicare Baseline: 6.51x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Kapiolani Medical Center for Women & Children is $2,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,207. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.51x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.
Cash / Self-Pay
$2,207

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,322

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: $2,207 (619%)
Insurance Median: $2,322 (651%)
Cash: $2,207 (619% of Medicare)
Ins. Median: $2,322 (651% 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 651% of the Medicare baseline (a markup of 551%). 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
Hmsa $181 - $901 51%
Ohana $250 - $1,398 70%
UnitedHealthcare $271 76%
Alohacare $357 - $393 100%
Kaiser $357 - $4,213 100%
Mdx $357 - $358 100%
Devoted $375 105%
Hwmg/Hmaa $538 151%
Uha $1,451 - $3,590 407%
Mimoh $2,031 - $3,590 570%
Calvos $2,176 - $3,590 610%
Hcha $2,322 - $3,830 651%
Multiplan $2,322 - $4,069 651%
Verdegard $2,322 - $3,830 651%
Mccp $2,467 - $4,069 692%
Coventry $2,612 - $4,308 733%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1319 Punahou Street, Honolulu, HI 96826
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens