CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Mary's Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $531
  • Cash Discount Price: $379
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint Mary's Regional Medical Center is $531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.49x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$379

Average discount available for prompt cash payment at this facility.

Insurance Median
$531

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: $379 (106%)
Insurance Median: $531 (149%)
Cash: $379 (106% of Medicare)
Ins. Median: $531 (149% 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.

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 - $759 24%
Access To Healthcare Network $200 56%
Blue Cross Blue Shield $248 - $732 70%
Health Plan Of Nevada $248 - $1,082 70%
Medicaid / KanCare $248 70%
Silver Summit $248 - $664 70%
Molina Healthcare Of Nv $253 - $379 71%
Aetna $379 - $676 106%
Medicare (plans) $379 106%
Saint Mary Health Plan $379 - $436 106%
Sierra $379 - $1,554 106%
Tricare $379 106%
Triwest $379 106%
Alignment $387 109%
UnitedHealthcare $391 - $2,402 110%
Pam $436 122%
Veterans Evaluation Service Ves $474 133%
Employer Direct $531 149%
Home Town Test $531 149%
Naphcare $531 149%
Asserta Health $569 160%
Imperial Insurance Company $569 - $702 160%
Custom Ink $596 167%
Nevada Health Partners $705 198%
6 Degrees $759 213%
Nv Preferred $807 - $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