CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Kootenai Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $322
Cash Discount Price: $2,288
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Kootenai Health is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,288. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.90x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$2,288

Average discount available for prompt cash payment at this facility.

Insurance Median

$322

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: $2,288 (642%)

Insurance Median: $322 (90%)

Cash: $2,288 (642% of Medicare)

Ins. Median: $322 (90% 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
Coordinated Care Of Washington	$53 - $193	15%
Molina Healthcare Of Idaho	$53 - $1,128	15%
Molina Healthcare Of Washington	$53 - $193	15%
Blue Cross Blue Shield	$80 - $2,996	22%
Humana	$80 - $361	22%
Premera	$80 - $1,885	22%
Regence Blue Shield Of Idaho	$80 - $366	22%
UnitedHealthcare	$80 - $2,745	22%
Pacificsource	$81 - $2,498	23%
Aetna	$84 - $2,532	24%
Group Health/Kaiser	$115 - $1,298	32%
Magellan	$182 - $262	51%
Wellpoint	$182 - $262	51%
Mountain Health Co-Op	$2,364	663%
Cigna	$2,498 - $2,535	701%
Interwest Health	$2,592	727%
First Choice Health (Ameriben)	$2,602 - $2,641	730%

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 $2,288.
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 Kootenai Health 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.