CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Bay Area Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,105
Cash Discount Price: $2,684
vs. Medicare Baseline: 4.53x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Bay Area Hospital is $1,105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,684. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.53x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$2,684

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,105

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: $2,684 (1101%)

Insurance Median: $1,105 (453%)

Cash: $2,684 (1101% of Medicare)

Ins. Median: $1,105 (453% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 453% of the Medicare baseline (a markup of 353%). 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
Healthnet Mcr Adv	$87 - $307	36%
Moda Hlth Mcr Adv	$87 - $312	36%
Southwest Oregon Ipa - All Plans	$98 - $236	40%
Ods Ppo/Pos - All Plans	$124 - $1,105	51%
Blue Cross Blue Shield	$188 - $14,942	77%
Nasomah Hlth Grp - All Plans	$200 - $2,504	82%
Moda Beacon - All Other Plans	$213 - $770	87%
Moda Connexus/Synergy	$237 - $3,714	97%
Healthnet Mcaid	$284 - $333	117%
Healthnet Comm- All Other Plans	$316 - $3,964	130%
Prov Behav Hlth	$332	136%
Providence - All Other Plans	$332 - $3,881	136%
Providence Pebb	$332 - $1,096	136%
Pacificsource - All Plans	$450 - $3,547	185%
First Choice - All Plans	$3,256 - $3,797	1336%
Aetna	$3,292 - $3,839	1350%
Cigna	$3,292 - $3,839	1350%
UnitedHealthcare	$3,399 - $3,964	1394%

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 $2,684.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bay Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.