CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Forks Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,639
Cash Discount Price: $2,934
vs. Medicare Baseline: 6.72x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Forks Community Hospital is $1,639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,934. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.72x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$2,934

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,639

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: $2,934 (1204%)

Insurance Median: $1,639 (672%)

Cash: $2,934 (1204% of Medicare)

Ins. Median: $1,639 (672% 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 672% of the Medicare baseline (a markup of 572%). 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
Medicare (plans)	$318	130%
Medicaid / KanCare	$567 - $2,087	233%
Coordinated Care (Mco) Mcd-All Plans	$612 - $2,127	251%
UnitedHealthcare	$729 - $4,841	299%
Community Health Network Mcr-All Other Plans	$738 - $2,563	303%
Humana	$738 - $2,563	303%
Tricare	$738 - $2,563	303%
Triwest-All Plans	$738 - $2,563	303%
Ambetter / Centene	$856 - $2,973	351%
Wellcare Med Adv - All Plans	$856 - $2,973	351%
Regence-All Other Plans	$944 - $3,279	387%
Community Health Exchange	$1,065 - $3,702	437%
Molina Commercial-All Other Plans	$1,508 - $5,239	619%
Aetna	$1,557 - $5,410	639%
Blue Cross Blue Shield	$1,557 - $5,410	639%
Cigna	$1,639 - $5,695	672%
First Choice-All Plans	$1,639 - $5,695	672%

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 $2,934.
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 Forks Community 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.