CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Astria Toppenish Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $370
  • Cash Discount Price: $3,869
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Astria Toppenish Hospital is $370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,869. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.52x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$3,869

Average discount available for prompt cash payment at this facility.

Insurance Median
$370

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: $3,869 (1587%)
Insurance Median: $370 (152%)
Cash: $3,869 (1587% of Medicare)
Ins. Median: $370 (152% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicaid / KanCare $211 - $437 87%
Li $244 100%
Aetna $250 - $5,239 103%
Cigna $250 103%
Humana $250 - $5,953 103%
Medicare (plans) $250 - $4,917 103%
Tricare $250 103%
Zenith $252 103%
Ambetter / Centene $285 117%
UnitedHealthcare $285 - $4,917 117%
Va $285 117%
Molina $290 119%
Molina_Exchange $370 152%
Kaiser $935 384%
Regence $2,018 828%
Premera $2,244 921%
Premera_Affordable_Care $2,244 921%
Chpw_Cascade_Care $3,750 1538%
First_Choice $4,108 1685%
Tpsc $4,643 1905%
Bcchp $4,695 1926%
Great_Rivers $5,953 2442%
Healthcomp $5,953 2442%
Washington_State_Hca $5,953 2442%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals