CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Howard Memorial

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $561
Cash Discount Price: $1,058
vs. Medicare Baseline: 2.30x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Howard Memorial is $561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,058. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.30x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$1,058

Average discount available for prompt cash payment at this facility.

Insurance Median

$561

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: $1,058 (434%)

Insurance Median: $561 (230%)

Cash: $1,058 (434% of Medicare)

Ins. Median: $561 (230% 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 230% of the Medicare baseline (a markup of 130%). 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
Cigna	$46 - $5,719	19%
Blue Shield Mcare	$81 - $1,346	33%
Medicare (plans)	$81 - $1,359	33%
Tricare	$81 - $1,346	33%
UnitedHealthcare	$81 - $5,206	33%
Ah Employee Health Plan - All Plans	$89 - $3,499	37%
Healthnet - All Plans	$118 - $5,517	48%
Aetna	$121 - $4,514	50%
Western Growers/Pinnacle - All Plans	$124 - $5,046	51%
Blue Shield - All Other Plans	$159 - $1,457	65%
Medi-Cal	$174 - $257	71%
Brms - All Plans	$275 - $5,719	113%
Blue Cross Blue Shield	$561 - $673	230%
Blue Shield Epn	$1,460	599%
First Health Ppo - All Plans	$5,382	2208%
Ghn Ppo - All Plans	$5,382	2208%

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 $1,058.
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 Adventist Health Howard Memorial 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.