CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Portneuf Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,819
Cash Discount Price: $1,879
vs. Medicare Baseline: 7.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Portneuf Medical Center is $2,819. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,879. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.91x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.

Cash / Self-Pay

$1,879

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,819

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: $1,879 (527%)

Insurance Median: $2,819 (791%)

Cash: $1,879 (527% of Medicare)

Ins. Median: $2,819 (791% 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 791% of the Medicare baseline (a markup of 691%). 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
Aetna	$645	181%
Healthscope Benefits [2290]	$645	181%
UnitedHealthcare	$645 - $2,819	181%
Black Lung [6055]	$1,284	360%
Employee Benefit Management Services [2445]	$1,284 - $1,879	360%
Healthcare Highways [2210]	$1,284 - $2,975	360%
Lucent Health [6000]	$1,284	360%
Moda Health [6100]	$1,284	360%
Oncology Patient Assistance Programs [2295]	$1,284	360%
Pending Ssi [1616]	$1,284	360%
Web Tpa [2115]	$1,284	360%
Pacific Source Health Plans [2850]	$1,800	505%
Liberty Health Share Lhs/Medcost Solutions Llc [2400]	$1,879	527%
Medishare Christian Care [1645]	$1,879	527%
Multiplan [1680]	$2,098 - $2,975	589%
Cigna	$2,305	647%
First Health [1375]	$2,584	725%
Selecthealth [3740]	$2,656 - $2,819	745%
Geha [1415]	$2,819	791%
Humana	$2,819	791%
Administrative Concepts [1005]	$2,975	835%
Healthfirst [2395]	$2,975	835%
Healthnet [1495]	$2,975	835%
Hometown Health [2155]	$2,975	835%
Mayo Clinic Health Solutions [2280]	$2,975	835%
Meritain Health [1655]	$2,975	835%
Mutual Of Omaha [1685]	$2,975	835%
National Association Of Letter Carriers [1695]	$2,975	835%
New Era Life Insurance Company [1705]	$2,975	835%
Pan American Life Insurance Co [1770]	$2,975	835%
Pba [1775]	$2,975	835%
Phcs [1780]	$2,975	835%
Planned Administrators Inc [2360]	$2,975	835%
Trustmark [2030]	$2,975	835%
Ut Id Teamsters [3760]	$2,975	835%

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 $1,879.
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 Portneuf Medical Center 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.