CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Prosser Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $175
Cash Discount Price: $1,368
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Prosser Memorial Hospital is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,368. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.72x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$1,368

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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: $1,368 (561%)

Insurance Median: $175 (72%)

Cash: $1,368 (561% of Medicare)

Ins. Median: $175 (72% 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.

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	$46 - $1,855	19%
Coordinated Care	$46 - $1,855	19%
Kaiser Permanente	$46 - $4,168	19%
UnitedHealthcare	$46 - $1,855	19%
Amerigroup	$49 - $1,966	20%
Molina	$49 - $1,855	20%
Health Alliance Northwest	$92 - $1,145	38%
Humana	$92 - $3,893	38%
Wellcare	$92 - $1,145	38%
Aetna	$93 - $3,893	38%
Cigna	$103 - $3,756	42%
Premera	$111 - $3,664	46%
Asuris	$124 - $4,122	51%
Health Management Adminstrators	$124 - $4,122	51%
Regence	$124 - $4,122	51%
Ambetter / Centene	$165 - $3,527	68%
Multiplan	$337 - $4,122	138%
First Choice	$3,893	1597%

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 $1,368.
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 Prosser Memorial 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.