CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mary Bridge Children's Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,328
Cash Discount Price: $1,723
vs. Medicare Baseline: 5.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mary Bridge Children's Hospital is $1,328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,723. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.45x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$1,723

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,328

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: $1,723 (707%)

Insurance Median: $1,328 (545%)

Cash: $1,723 (707% of Medicare)

Ins. Median: $1,328 (545% 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 545% of the Medicare baseline (a markup of 445%). 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
Molina	$223 - $497	91%
Community Health Plan Of Washington	$241 - $703	99%
Coordinated Care	$241	99%
UnitedHealthcare	$241 - $2,164	99%
Wellpoint	$241	99%
Aetna	$277 - $1,654	114%
Regence	$277 - $1,328	114%
Wellcare	$282	116%
Premera	$437 - $1,125	179%
Ambetter / Centene	$793	325%
Uniform Medical	$1,321	542%
Pacificsource	$1,561 - $1,573	640%
Kaiser	$2,067	848%
First Choice	$2,493 - $3,699	1023%
First Health	$3,062 - $3,828	1256%
Multiplan/Phcs	$3,062 - $3,828	1256%
Cigna	$3,116 - $3,995	1278%

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 $1,723.
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 Mary Bridge Children's 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.