CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Island Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,006
Cash Discount Price: $2,515
vs. Medicare Baseline: 4.13x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Island Hospital is $1,006. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,515. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.13x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$2,515

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,006

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: $2,515 (1032%)

Insurance Median: $1,006 (413%)

Cash: $2,515 (1032% of Medicare)

Ins. Median: $1,006 (413% 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 413% of the Medicare baseline (a markup of 313%). 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
Molina Mcaid - All Plans	$212	87%
Amerigroup Mcaid - All Plans	$223	91%
Chpw Mcaid - All Plans	$255	105%
Aarp Mcr Adv - All Plans	$905	371%
Humana	$905 - $2,138	371%
Samish Indian Health - All Plans	$905	371%
Regence Mcr Adv	$960	394%
UnitedHealthcare	$1,000	410%
Coordinated Care Mcaid - All Plans	$1,012	415%
Premera Comm - All Other Plans	$1,666	683%
Regence Comm - All Other Plans	$1,886	774%
Cigna	$2,012	825%
First Health - All Plans	$2,138	877%
Multiplan - All Plans	$2,138	877%
Aetna	$2,389	980%

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 $2,515.
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 Island 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.