CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jefferson Healthcare

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,561
Cash Discount Price: $2,062
vs. Medicare Baseline: 4.38x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Jefferson Healthcare is $1,561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,062. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.38x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$2,062

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,561

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: $2,062 (579%)

Insurance Median: $1,561 (438%)

Cash: $2,062 (579% of Medicare)

Ins. Median: $1,561 (438% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 438% of the Medicare baseline (a markup of 338%). 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	$85 - $1,712	24%
Chpw Mcr Adv	$92 - $1,848	26%
Aetna	$98 - $4,401	27%
Medicare (plans)	$98 - $1,746	27%
Molina Mcr Adv	$98 - $1,712	27%
Molina Marketplace-All Other Plans	$106 - $2,139	30%
Chpw Commercial-All Other Plans	$127 - $4,156	36%
Coord Care Comm/Exchge-All Other Plans	$136 - $4,401	38%
Chpw Mcaid	$190 - $1,528	53%
Molina Mcaid	$190 - $1,561	53%
Amerigroup Mcaid-All Plans	$195 - $1,606	55%
Regence-All Other Plans	$199 - $3,668	56%
Premera-All Plans	$226 - $4,156	63%
Cigna	$239 - $4,401	67%
Coord Care Mcaid Ip/Op Only	$1,637	459%
UnitedHealthcare	$2,738	768%
Coord Care Cascade Ip/Op Only	$4,401	1235%

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 $2,062.
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 Jefferson Healthcare 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.