CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mid-Columbia Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $284
  • Cash Discount Price: $389
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mid-Columbia Medical Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.17x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$389

Average discount available for prompt cash payment at this facility.

Insurance Median
$284

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $389 (160%)
Insurance Median: $284 (117%)
Cash: $389 (160% of Medicare)
Ins. Median: $284 (117% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

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
Blue Cross Blue Shield $79 - $4,342 32%
Community Hp Mcr Adv - All Plans $79 - $284 32%
Molina Mcr Adv $79 - $284 32%
Tricare $79 - $284 32%
Va Ccn Triwest - All Plans $79 - $284 32%
Healthnet Mcr Adv $80 - $290 33%
Humana $81 - $298 33%
Moda Mcr Adv $81 - $284 33%
Devoted Mcr Adv - All Plans $85 - $1,471 35%
Employee Health Plan - All Plans $87 - $511 36%
Molina - All Other Plans $87 - $312 36%
Aetna $94 - $1,257 39%
Healthnet - All Other Plans $119 49%
Cigna $132 - $1,283 54%
Multiplan/Phcs - All Plans $134 - $1,294 55%
Molina Mcaid $135 - $708 55%
Coventry - All Plans $153 - $1,226 63%
First Choice - All Plans $156 - $1,294 64%
Providence Ppo - All Plans $163 - $1,294 67%
Moda Health Plan - All Other Plans $171 - $899 70%
Amerigroup Mcaid - All Plans $259 - $708 106%
Coordinated Care Mcaid - All Plans $259 - $708 106%
Norocor - All Plans $681 279%
UnitedHealthcare $708 - $1,294 290%
Healthscape - All Plans $1,090 447%
First Health - All Plans $1,212 497%
Pacific Source - All Plans $1,253 514%
Trpn - Three Rivers - All Plans $1,294 531%
Ahp - Americas Hlth Plan - All Plans $1,321 542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals