CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mary Bridge Children's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,085
Cash Discount Price: $2,426
vs. Medicare Baseline: 5.85x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mary Bridge Children's Hospital is $2,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,426. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.85x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$2,426

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,085

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: $2,426 (681%)

Insurance Median: $2,085 (585%)

Cash: $2,426 (681% of Medicare)

Ins. Median: $2,085 (585% 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 585% of the Medicare baseline (a markup of 485%). 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 - $734	63%
Community Health Plan Of Washington	$241 - $703	68%
Coordinated Care	$241	68%
UnitedHealthcare	$241 - $3,397	68%
Wellpoint	$241	68%
Aetna	$409 - $2,443	115%
Regence	$409 - $2,085	115%
Wellcare	$417	117%
Premera	$690 - $1,766	194%
Ambetter / Centene	$793	222%
Uniform Medical	$2,073	582%
Pacificsource	$2,198 - $2,216	617%
Kaiser	$2,425	680%
First Choice	$3,511 - $5,209	985%
First Health	$4,313 - $5,391	1210%
Multiplan/Phcs	$4,313 - $5,391	1210%
Cigna	$4,388 - $5,627	1231%

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 $2,426.
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 Mary Bridge Children's 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.