CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cascade Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $362
Cash Discount Price: $1,566
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cascade Medical Center is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,566. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.49x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$1,566

Average discount available for prompt cash payment at this facility.

Insurance Median

$362

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: $1,566 (642%)

Insurance Median: $362 (149%)

Cash: $1,566 (642% of Medicare)

Ins. Median: $362 (149% 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
Aetna	$91 - $3,154	37%
Asuris Northwest Health	$91 - $3,154	37%
Blue Cross Blue Shield	$91 - $2,664	37%
Humana	$91 - $2,027	37%
Medicare (plans)	$91 - $2,027	37%
Molina Healthcare Of Washington Mcr Adv	$92 - $2,047	38%
Wellcare Health Plan Inc Mcr Adv	$98 - $2,189	40%
Tricare	$192	79%
Medicaid / KanCare	$219 - $1,872	90%
Community Health Plan Of Wa Mcd Rep	$228 - $1,950	94%
Coordinated Care Of Wa Mcd Rep	$228 - $1,950	94%
Molina Healthcare Of Washington Mcd Rep	$228 - $1,950	94%
Ambetter / Centene	$257 - $2,198	105%
Community Health Plan Of Wa	$266 - $2,278	109%
First Choice Health Network	$268	110%
Pacificsource Health Plans	$268	110%
Cigna	$343 - $2,930	141%
Washington Department Of Labor And Industry	$355	146%

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 $1,566.
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 Cascade 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.