CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Boundary Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $325
Cash Discount Price: $902
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Boundary Community Hospital is $325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $902. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.91x the Medicare baseline. Located in 6640 Kaniksu Street, Bonners Ferry, ID.

Cash / Self-Pay

$902

Average discount available for prompt cash payment at this facility.

Insurance Median

$325

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: $902 (253%)

Insurance Median: $325 (91%)

Cash: $902 (253% of Medicare)

Ins. Median: $325 (91% 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
UnitedHealthcare	$56 - $1,659	16%
Cigna	$72 - $4,348	20%
Molina Comm/Mrketplce - All Other Plans	$80 - $356	22%
Molina Mcr Adv	$80 - $1,074	22%
Bc Idaho Qhp	$146 - $1,835	41%
Bc Idaho Comm - All Other Plans	$163 - $1,841	46%
Regence Blue Shield - All Plans	$172 - $7,564	48%
Aetna	$231 - $1,269	65%
Molina Mcaid	$236 - $1,171	66%
Pacificsource Comm - All Other Plans	$294 - $1,893	82%

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 $902.
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 Boundary Community 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.