CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mid-Columbia Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $415
  • Cash Discount Price: $1,237
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mid-Columbia Medical Center is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,237. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.16x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$1,237

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $1,237 (347%)
Insurance Median: $415 (116%)
Cash: $1,237 (347% of Medicare)
Ins. Median: $415 (116% 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.

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 $83 - $15,565 23%
Community Hp Mcr Adv - All Plans $83 - $415 23%
Molina Mcr Adv $83 - $415 23%
Tricare $83 - $415 23%
Va Ccn Triwest - All Plans $83 - $415 23%
Healthnet Mcr Adv $84 - $424 24%
Humana $85 - $436 24%
Moda Mcr Adv $85 - $415 24%
Devoted Mcr Adv - All Plans $89 - $5,273 25%
Employee Health Plan - All Plans $91 - $748 26%
Molina - All Other Plans $91 - $457 26%
Aetna $98 - $4,506 27%
Healthnet - All Other Plans $124 35%
Cigna $138 - $4,599 39%
Molina Mcaid $141 - $2,539 40%
Multiplan/Phcs - All Plans $141 - $4,638 40%
Coventry - All Plans $161 - $4,394 45%
First Choice - All Plans $163 - $4,638 46%
Providence Ppo - All Plans $171 - $4,638 48%
Moda Health Plan - All Other Plans $179 - $3,222 50%
Amerigroup Mcaid - All Plans $271 - $2,539 76%
Coordinated Care Mcaid - All Plans $271 - $2,539 76%
Norocor - All Plans $2,441 685%
First Health - All Plans $2,500 701%
UnitedHealthcare $2,539 - $4,638 712%
Healthscape - All Plans $3,906 1096%
Pacific Source - All Plans $4,491 1260%
Trpn - Three Rivers - All Plans $4,638 1301%
Ahp - Americas Hlth Plan - All Plans $4,736 1329%

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