CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jefferson Healthcare

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,291
Cash Discount Price: $1,719
vs. Medicare Baseline: 5.30x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Jefferson Healthcare is $1,291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,719. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.30x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,719

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,291

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: $1,719 (705%)

Insurance Median: $1,291 (530%)

Cash: $1,719 (705% of Medicare)

Ins. Median: $1,291 (530% 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 530% of the Medicare baseline (a markup of 430%). 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
Tricare	$81 - $1,415	33%
Chpw Mcr Adv	$87 - $1,529	36%
Aetna	$93 - $3,640	38%
Medicare (plans)	$93 - $1,444	38%
Molina Mcr Adv	$93 - $1,415	38%
Molina Marketplace-All Other Plans	$101 - $1,769	41%
Chpw Mcaid	$114 - $1,263	47%
Molina Mcaid	$114 - $1,291	47%
Amerigroup Mcaid-All Plans	$118 - $1,328	48%
Chpw Commercial-All Other Plans	$121 - $3,437	50%
Coord Care Comm/Exchge-All Other Plans	$129 - $3,640	53%
Regence-All Other Plans	$190 - $3,033	78%
Premera-All Plans	$215 - $3,437	88%
Cigna	$228 - $3,640	94%
Coord Care Mcaid Ip/Op Only	$1,354	555%
UnitedHealthcare	$2,265	929%
Coord Care Cascade Ip/Op Only	$3,640	1493%

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 $1,719.
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 Jefferson Healthcare 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.