CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$241

about 1.0× the $244 Medicare rate · typically $199–$346

modeled estimate · not a bill or quote

What this hospital charges insurers

$233

About the fair price

about $8 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $241 This hospital $233 Cash price $2,444 Hospital's list price $6,109

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 4 of 8 other UT hospitals charge more for the same procedure.

Cheapest $101 Priciest $241

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $241 (about 1.0× the $244 Medicare rate). Holy Cross Hospital-Jordan Valley charges insurers about $233, or about $2,444 in cash — about the fair price. Located in West Jordan, UT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$310 - $6,109	127%
Blue Cross Blue Shieldmajor	$233 - $3,665	96%
Aetnamajor	$81 - $5,162	33%
Cignamajor	$243 - $4,887	100%
Humanamajor	$93	38%
Molina	$81 - $2,623	33%
SelectHealth	$4,043	1659%
+ 12 smaller / regional plans	$81 - $6,109

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,444), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Holy Cross Hospital-Jordan Valley is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Holy Cross Hospital-Jordan Valley

Compare: CT scan, abdomen and pelvis (no contrast) at other UT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.