CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Southern Coos Hospital & Health Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,143
Cash Discount Price: $1,786
vs. Medicare Baseline: 8.79x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Southern Coos Hospital & Health Center is $2,143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,786. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.79x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$1,786

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,143

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: $1,786 (733%)

Insurance Median: $2,143 (879%)

Cash: $1,786 (733% of Medicare)

Ins. Median: $2,143 (879% 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 879% of the Medicare baseline (a markup of 779%). 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	$146 - $2,566	60%
Moda Health Plan - All Other Plans	$146 - $2,890	60%
Blue Cross Blue Shield	$147 - $3,020	60%
Providence Preferred - All Plans	$163 - $3,085	67%
Tricare	$286 - $1,886	117%
Aetna	$325 - $2,923	133%
Atrio Mcr Adv - Allplans	$325 - $2,143	133%
Confederated Tribes - All Plans	$325 - $2,143	133%
Moda Mcr Adv	$325 - $2,143	133%
Pacific Source Mcr Adv	$325 - $2,143	133%
Advanced Health - All Plans	$2,046	839%
Healthnet - All Plans	$2,696	1106%
Prov Netwrk Of America - All Plans	$2,923	1199%
Three Rivers - All Plans	$2,923	1199%
UnitedHealthcare	$2,923	1199%
First Choice - All Plans	$2,988	1226%
Multiplan - All Plans	$3,020	1239%
First Health - All Plans	$3,085	1266%
Pacific Source - All Other Plans	$3,085	1266%

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 $1,786.
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 Southern Coos Hospital & Health Center 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.