CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adventist Health Tillamook

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,151
Cash Discount Price: $1,985
vs. Medicare Baseline: 6.03x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adventist Health Tillamook is $2,151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,985. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.03x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$1,985

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,151

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: $1,985 (557%)

Insurance Median: $2,151 (603%)

Cash: $1,985 (557% of Medicare)

Ins. Median: $2,151 (603% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 603% of the Medicare baseline (a markup of 503%). 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 - $4,224	13%
UnitedHealthcare	$70 - $4,180	20%
Aetna	$83 - $4,092	23%
Moda Health Plan - All Plans	$84 - $2,068	24%
Sterling Life - All Plans	$86 - $2,151	24%
Medicare (plans)	$87 - $2,068	24%
Devoted Health	$89 - $2,233	25%
Blue Cross Blue Shield	$95 - $3,828	27%
Hvhs Mcare - All Plans	$100 - $2,089	28%
Ods Health Plan - All Other Plans	$194 - $4,268	54%
Lifewise - All Plans	$563 - $3,969	158%
Ah Employee Health Plan - All Plans	$587 - $4,136	165%
First Choice Health- All Plans	$587 - $4,136	165%
Health Net - All Plans	$587 - $4,136	165%
Providence Preferred - All Plans	$612 - $4,312	172%
Workers Comp	$624 - $4,400	175%
Cigna	$3,491 - $4,180	979%
Phcs Preferred - All Plans	$3,491 - $4,180	979%

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 $1,985.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.