CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Othello Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $2,271
  • Cash Discount Price: $2,129
  • vs. Medicare Baseline: 9.32x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Othello Community Hospital is $2,271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,129. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.32x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$2,129

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,271

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: $2,129 (873%)
Insurance Median: $2,271 (932%)
Cash: $2,129 (873% of Medicare)
Ins. Median: $2,271 (932% 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 932% of the Medicare baseline (a markup of 832%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Ambetter / Centene $1,207 - $1,221 495%
Amerigroup Mcaid $1,207 495%
Chp Mcaid $1,207 495%
Cocare - All Plans $1,207 495%
Gau - All Plans $1,207 495%
Kaiser - All Plans $1,207 495%
Molina Mcaid $1,207 495%
UnitedHealthcare $1,207 - $2,838 495%
Chp - All Other Plans $1,221 501%
Molina - All Other Plans $1,221 501%
Medicare (plans) $1,419 582%
Tricare $1,845 757%
Triwest - All Plans $1,845 757%
Asuris - All Plans $2,271 932%
Commercial Other - All Plans $2,271 932%
Hma - All Plans $2,271 932%
Hmso - All Plans $2,271 932%
Tpsc - All Plans $2,271 932%
Travelers - All Plans $2,271 932%
Veterans Admin - All Plans $2,271 932%
Blue Cross Blue Shield $2,384 978%
Cigna $2,526 1036%
First Choice - All Plans $2,555 1048%
Aetna $2,668 1094%
Chp Mcr Adv $2,838 1164%
Health Alliance Mcr Adv - All Plans $2,838 1164%
Humana $2,838 1164%
Molina Mcare $2,838 1164%
Wellcare Mcr Adv - All Plans $2,838 1164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals