CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cascade Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $427
Cash Discount Price: $1,888
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cascade Medical Center is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,888. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.20x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$1,888

Average discount available for prompt cash payment at this facility.

Insurance Median

$427

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: $1,888 (530%)

Insurance Median: $427 (120%)

Cash: $1,888 (530% of Medicare)

Ins. Median: $427 (120% 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.

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	$96 - $3,856	27%
Asuris Northwest Health	$96 - $3,856	27%
Blue Cross Blue Shield	$96 - $3,256	27%
Humana	$96 - $2,477	27%
Medicare (plans)	$96 - $2,477	27%
Molina Healthcare Of Washington Mcr Adv	$97 - $2,502	27%
Wellcare Health Plan Inc Mcr Adv	$103 - $2,675	29%
Medicaid / KanCare	$233 - $2,288	65%
Community Health Plan Of Wa Mcd Rep	$243 - $2,383	68%
Coordinated Care Of Wa Mcd Rep	$243 - $2,383	68%
Molina Healthcare Of Washington Mcd Rep	$243 - $2,383	68%
Ambetter / Centene	$273 - $2,686	77%
Community Health Plan Of Wa	$283 - $2,785	79%
Tricare	$320	90%
Cigna	$364 - $3,581	102%
First Choice Health Network	$427	120%
Pacificsource Health Plans	$427	120%
Washington Department Of Labor And Industry	$436 - $602	122%

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 $1,888.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.