CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Adventist Health Tillamook

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,612
Cash Discount Price: $1,529
vs. Medicare Baseline: 6.61x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Adventist Health Tillamook is $1,612. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,529. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.61x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$1,529

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,612

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: $1,529 (627%)

Insurance Median: $1,612 (661%)

Cash: $1,529 (627% of Medicare)

Ins. Median: $1,612 (661% 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 661% of the Medicare baseline (a markup of 561%). 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
Pacificsource - All Plans	$48 - $3,213	20%
UnitedHealthcare	$67 - $3,180	27%
Aetna	$79 - $3,113	32%
Moda Health Plan - All Plans	$80 - $1,573	33%
Sterling Life - All Plans	$82 - $1,636	34%
Medicare (plans)	$83 - $1,573	34%
Devoted Health	$85 - $1,699	35%
Blue Cross Blue Shield	$91 - $2,912	37%
Hvhs Mcare - All Plans	$95 - $1,589	39%
Ods Health Plan - All Other Plans	$185 - $3,247	76%
Lifewise - All Plans	$530 - $3,019	217%
Ah Employee Health Plan - All Plans	$552 - $3,146	226%
First Choice Health- All Plans	$552 - $3,146	226%
Health Net - All Plans	$552 - $3,146	226%
Providence Preferred - All Plans	$576 - $3,280	236%
Workers Comp	$588 - $3,347	241%
Cigna	$2,690 - $3,180	1103%
Phcs Preferred - All Plans	$2,690 - $3,180	1103%

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 $1,529.
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 Adventist Health Tillamook 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.