CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Hospital San Francisco

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $194
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Hospital San Francisco is $194. 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 $356.43, this hospital’s rate is 0.54x 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
$194

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: $163 (46%)
Insurance Median: $194 (54%)
Cash: $163 (46% of Medicare)
Ins. Median: $194 (54% 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
First Medical $83 - $150 23%
Triple S $83 - $450 23%
Mso $98 - $167 27%
Aarp $122 34%
Plan De Salud Menonita $150 - $223 42%
Mcs $157 - $246 44%
Fondo Del Seguro Estado $160 45%
Pr Other Insurances $162 45%
Privado $162 45%
Western Medical Hospice $162 45%
Humana $167 - $202 47%
Medicare (plans) $167 47%
Tricare $167 47%
Comerciales $189 53%
Mapfre $200 56%
Ch $241 68%
Mpc - Us $241 68%
UnitedHealthcare $241 68%
Us $241 68%
Acaa $371 104%
Bl $400 112%
Cigna $428 120%
Medicaid / KanCare $428 120%
Prossam $428 120%
Va $428 120%
Corvel Network $450 126%
Mpc-Pr Other Insurances $450 126%

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