CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Klickitat Valley Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,237
Cash Discount Price: $1,148
vs. Medicare Baseline: 5.07x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Klickitat Valley Hospital is $1,237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,148. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.07x the Medicare baseline. Located in 310 South Roosevelt, Goldendale, WA.

Cash / Self-Pay

$1,148

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,237

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: $1,148 (471%)

Insurance Median: $1,237 (507%)

Cash: $1,148 (471% of Medicare)

Ins. Median: $1,237 (507% 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 507% of the Medicare baseline (a markup of 407%). 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
Molina	$308 - $3,678	126%
Community Health Plan Of Wa	$313 - $1,839	128%
Pacificsource Health Plans	$313 - $3,065	128%
Coordinated Care	$315 - $1,850	129%
UnitedHealthcare	$324 - $2,968	133%
Wellpoint	$333 - $1,959	137%
Cigna	$486 - $2,861	199%
Health Net Health Plan Of Oregon	$660 - $3,883	271%
Moda Health Plan	$660 - $3,883	271%
Providence Health Plan	$660 - $3,883	271%

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 $1,148.
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 Klickitat Valley 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.