CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Olympic Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,120
  • Cash Discount Price: $2,120
  • vs. Medicare Baseline: 5.95x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Olympic Medical Center is $2,120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,120. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.95x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.
Cash / Self-Pay
$2,120

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,120

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: $2,120 (595%)
Insurance Median: $2,120 (595%)
Cash: $2,120 (595% of Medicare)
Ins. Median: $2,120 (595% 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 595% of the Medicare baseline (a markup of 495%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Community Health Plan Of Washington $319 - $2,120 89%
Regence $319 - $2,650 89%
Wellcare $319 89%
Coordinated Care $385 108%
Molina $385 - $495 108%
Wellpoint (Formerly Amerigroup) $403 113%
UnitedHealthcare $421 - $2,650 118%
Regence Uniform $1,481 416%
Ambetter / Centene $2,385 - $2,518 669%
Cigna $2,581 724%
Aetna $2,650 743%
First Choice Network $2,650 743%
Gmr/Caldera Care $2,650 743%
Hma $2,650 743%
Lifewise $2,650 743%
Premera $2,650 743%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 939 Caroline St, Port Angeles, WA 98362
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals