CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Snoqualmie Valley Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $599
Cash Discount Price: $2,021
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Snoqualmie Valley Hospital is $599. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,021. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.68x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$2,021

Average discount available for prompt cash payment at this facility.

Insurance Median

$599

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: $2,021 (567%)

Insurance Median: $599 (168%)

Cash: $2,021 (567% of Medicare)

Ins. Median: $599 (168% 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.

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
Aetna	$168 - $3,817	47%
Humana	$170 - $2,796	48%
Washington Coordinated Care	$172 - $3,313	48%
Community Health Plan Of Wa Mcd Rep	$184 - $3,067	52%
Medicaid / KanCare	$184 - $3,067	52%
UnitedHealthcare	$184 - $6,045	52%
Amerigroup Wellpoint	$195 - $3,251	55%
Molina Healthcare Of Washington Mcd Rep	$203 - $3,313	57%
Kaiser Foundation Health Plan Of The Northwest	$251 - $4,137	70%
Cigna	$319 - $5,256	89%
Blue Shield Of Wa Regence Mcr Adv	$349 - $2,796	98%
Community Health Plan Of Wa	$349 - $2,825	98%
Medicare (plans)	$349 - $2,769	98%
Molina Healthcare Of Washington Mcr Adv	$349 - $2,769	98%
Molina Healthcare Of Washington	$356 - $2,825	100%
First Choice Health Network	$359 - $4,599	101%
Blue Shield Of Wa Regence	$399 - $772	112%
Blue Cross Blue Shield	$427 - $3,942	120%

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 $2,021.
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 Snoqualmie Valley Hospital 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.