CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Kohala Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $413
Cash Discount Price: $530
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Kohala Hospital is $413. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.16x the Medicare baseline. Located in 54-383 Hospital Road, Kapaau, HI.

Cash / Self-Pay

$530

Average discount available for prompt cash payment at this facility.

Insurance Median

$413

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: $530 (149%)

Insurance Median: $413 (116%)

Cash: $530 (149% of Medicare)

Ins. Median: $413 (116% 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.

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
Uha	$82 - $509	23%
Hmsa	$181 - $847	51%
UnitedHealthcare	$181 - $413	51%
#	$236 - $631	66%
Alohacare	$377 - $413	106%
Kaiser	$377 - $2,088	106%
Ohana	$377 - $413	106%
Hmaa	$393 - $2,158	110%
Humana	$413	116%
Hma	$628	176%
Dmba	$1,034 - $1,856	290%
Mdx	$1,253 - $2,250	352%

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 $530.
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 Kohala Hospital 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.