CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Snoqualmie Valley Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $369
Cash Discount Price: $1,560
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Snoqualmie Valley Hospital is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,560. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$1,560

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

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: $1,560 (640%)

Insurance Median: $369 (151%)

Cash: $1,560 (640% of Medicare)

Ins. Median: $369 (151% 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.

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
Community Health Plan Of Wa Mcd Rep	$111 - $2,348	46%
Medicaid / KanCare	$111 - $2,348	46%
UnitedHealthcare	$111 - $4,628	46%
Amerigroup Wellpoint	$118 - $2,489	48%
Washington Coordinated Care	$120 - $2,536	49%
Molina Healthcare Of Washington Mcd Rep	$122 - $2,536	50%
Aetna	$146 - $2,923	60%
Humana	$148 - $2,141	61%
Blue Shield Of Wa Regence Mcr Adv	$209 - $2,141	86%
Community Health Plan Of Wa	$209 - $2,163	86%
Medicare (plans)	$209 - $2,120	86%
Molina Healthcare Of Washington Mcr Adv	$209 - $2,120	86%
Molina Healthcare Of Washington	$213 - $2,163	87%
Kaiser Foundation Health Plan Of The Northwest	$219 - $3,167	90%
Blue Cross Blue Shield	$257 - $3,018	105%
Blue Shield Of Wa Regence	$261 - $461	107%
First Choice Health Network	$268 - $3,521	110%
Cigna	$278 - $4,024	114%

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 $1,560.
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 Snoqualmie 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.