CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Astria Toppenish Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $396
  • Cash Discount Price: $5,584
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Astria Toppenish Hospital is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,584. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.11x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$5,584

Average discount available for prompt cash payment at this facility.

Insurance Median
$396

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: $5,584 (1567%)
Insurance Median: $396 (111%)
Cash: $5,584 (1567% of Medicare)
Ins. Median: $396 (111% 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.

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 - $686 59%
Ambetter / Centene $285 80%
UnitedHealthcare $285 - $7,095 80%
Va $285 80%
Molina $290 81%
Medicare (plans) $293 - $7,095 82%
Molina_Exchange $370 104%
Li $391 110%
Aetna $392 - $7,559 110%
Cigna $392 110%
Humana $392 - $8,590 110%
Tricare $392 110%
Zenith $396 111%
Kaiser $1,495 419%
Regence $2,912 817%
Premera $3,238 908%
Premera_Affordable_Care $3,238 908%
Bcchp $4,695 1317%
Chpw_Cascade_Care $5,412 1518%
First_Choice $5,927 1663%
Tpsc $6,700 1880%
Great_Rivers $8,590 2410%
Healthcomp $8,590 2410%
Washington_State_Hca $8,590 2410%

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