CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,344
Cash Discount Price: $1,049
vs. Medicare Baseline: 3.77x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Clearwater Valley Hospital & Clinics is $1,344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,049. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.77x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$1,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,344

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: $1,049 (294%)

Insurance Median: $1,344 (377%)

Cash: $1,049 (294% of Medicare)

Ins. Median: $1,344 (377% 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 377% of the Medicare baseline (a markup of 277%). 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	$72 - $2,304	20%
Humana	$80 - $2,483	22%
Nimiipuu Mcr Adv-All Plans	$80 - $1,396	22%
Regence Blue Shield Mcr	$80 - $1,382	22%
Veterans Amin-All Plans	$80 - $1,382	22%
Pacific Source - All Plans	$83 - $1,382	23%
Blue Cross Blue Shield	$92 - $1,869	26%
Aetna	$128 - $2,381	36%
UnitedHealthcare	$148	42%
Idaho Phys Network-All Plans	$226 - $2,432	63%
Multiplan / Phcs-All Plans	$228 - $2,483	64%
Geha-All Plans	$231 - $2,509	65%
First Choice-All Plans	$233 - $2,509	65%
Corizon Correctnal Med-All Plans	$307 - $1,869	86%
Regence Blue Shield-All Other Plans	$2,560	718%

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 $1,049.
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 Clearwater Valley Hospital & Clinics 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.