CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Hospital San Francisco

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $147
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Hospital San Francisco is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.60x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $163 (67%)
Insurance Median: $147 (60%)
Cash: $163 (67% of Medicare)
Ins. Median: $147 (60% 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
Aarp $83 34%
Mcs $90 - $182 37%
Pr Other Insurances $90 37%
Humana $91 - $193 37%
Medicare (plans) $91 37%
Mso $91 - $120 37%
Tricare $91 37%
Triple S $91 - $450 37%
Fondo Del Seguro Estado $103 42%
Ch $115 47%
Mpc - Us $115 47%
UnitedHealthcare $115 47%
Us $115 47%
First Medical $131 - $156 54%
Plan De Salud Menonita $144 - $150 59%
Privado $162 66%
Western Medical Hospice $162 66%
Comerciales $184 75%
Mapfre $212 87%
Acaa $323 133%
Cigna $351 144%
Medicaid / KanCare $351 144%
Prossam $351 144%
Va $351 144%
Bl $375 154%
Corvel Network $450 185%
Mpc-Pr Other Insurances $450 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals