CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Saint Mary's Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $363
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Saint Mary's Regional Medical Center is $363. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.49x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$363

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: $259 (106%)
Insurance Median: $363 (149%)
Cash: $259 (106% of Medicare)
Ins. Median: $363 (149% 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.

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
Occunet $87 - $519 36%
Blue Cross Blue Shield $137 - $500 56%
Health Plan Of Nevada $137 - $1,082 56%
Medicaid / KanCare $137 56%
Silver Summit $137 - $454 56%
Molina Healthcare Of Nv $140 - $260 57%
Access To Healthcare Network $200 82%
Aetna $260 - $676 107%
Medicare (plans) $260 107%
Saint Mary Health Plan $260 - $298 107%
Sierra $260 - $1,554 107%
Tricare $260 107%
Triwest $260 107%
Alignment $265 109%
UnitedHealthcare $267 - $2,402 110%
Pam $298 122%
Veterans Evaluation Service Ves $324 133%
Employer Direct $363 149%
Home Town Test $363 149%
Naphcare $363 149%
Asserta Health $389 160%
Imperial Insurance Company $389 - $480 160%
Custom Ink $404 166%
Nevada Health Partners $482 198%
6 Degrees $519 213%
Nv Preferred $552 - $1,083 226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals