CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Howard Memorial

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,070
Cash Discount Price: $1,209
vs. Medicare Baseline: 3.00x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Howard Memorial is $1,070. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,209. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.00x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$1,209

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,070

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: $1,209 (339%)

Insurance Median: $1,070 (300%)

Cash: $1,209 (339% of Medicare)

Ins. Median: $1,070 (300% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 300% of the Medicare baseline (a markup of 200%). 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	$48 - $6,564	13%
Blue Shield Mcare	$85 - $1,544	24%
Medicare (plans)	$85 - $1,560	24%
Tricare	$85 - $1,544	24%
UnitedHealthcare	$85 - $5,975	24%
Ah Employee Health Plan - All Plans	$94 - $4,015	26%
Healthnet - All Plans	$124 - $6,332	35%
Western Growers/Pinnacle - All Plans	$130 - $5,792	36%
Blue Shield - All Other Plans	$166 - $2,780	47%
Aetna	$230 - $5,181	65%
Medi-Cal	$282 - $404	79%
Brms - All Plans	$288 - $6,564	81%
Blue Cross Blue Shield	$1,070 - $1,285	300%
Blue Shield Epn	$2,786	782%
First Health Ppo - All Plans	$6,178	1733%
Ghn Ppo - All Plans	$6,178	1733%

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 $1,209.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.