CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $638
Cash Discount Price: $17,563
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Southern Hills Hospital and Medical Center is $638. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,563. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.62x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$17,563

Average discount available for prompt cash payment at this facility.

Insurance Median

$638

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: $17,563 (7205%)

Insurance Median: $638 (262%)

Cash: $17,563 (7205% of Medicare)

Ins. Median: $638 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Blue Cross Blue Shield	$81 - $238	33%
Ambetter / Centene	$95 - $3,688	39%
United	$167 - $3,829	69%
Sierra	$400	164%
Corvel	$638	262%
Olympus Medsave Usa	$671 - $13,172	275%
Aetna	$980	402%
Cigna	$1,214	498%
Select Health	$3,794 - $4,048	1556%
Prominence Healthfirst	$5,269	2161%
Cmn Global	$7,376	3026%
Evernorth	$8,782	3603%
Nv Health & Welfare Trust	$10,538	4323%
Multiplan	$11,065 - $12,821	4539%
First Health	$11,592 - $14,050	4755%
Medcare International	$13,172	5403%

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 $17,563.
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 Southern Hills Hospital and Medical Center 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.