CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Capital Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $644
Cash Discount Price: $2,480
vs. Medicare Baseline: 2.64x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Capital Medical Center is $644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,480. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.64x the Medicare baseline. Located in 3900 Capital Mall Dr Sw, Olympia, WA.

Cash / Self-Pay

$2,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$644

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: $2,480 (1017%)

Insurance Median: $644 (264%)

Cash: $2,480 (1017% of Medicare)

Ins. Median: $644 (264% 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 264% of the Medicare baseline (a markup of 164%). 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
Community Health Plan Of Washington	$236 - $443	97%
Coordinated Care	$240	98%
Molina	$240 - $486	98%
UnitedHealthcare	$240 - $1,232	98%
Regence	$265	109%
Aetna	$271 - $785	111%
Wellcare	$276	113%
Wellpoint	$350	144%
Premera	$437 - $644	179%
Ambetter / Centene	$486	199%
First Choice	$934 - $1,482	383%
Kaiser	$1,138	467%
Pacificsource	$2,170 - $3,132	890%
Cigna	$3,484	1429%
Multiplan/Phcs	$4,527 - $4,961	1857%
First Health	$5,271	2162%

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 $2,480.
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 Capital Medical Center 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.