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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in WA

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Hospitals
4
Min
$307.95
Median
$552.98
Max
$1,062.62
Range multiplier
3.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield335$135.74$711.99$2,910.6021.4×
UnitedHealthcare317$56.96$405.13$6,057.72106.4×
Aetna39$81.59$792.00$6,747.8482.7×
Medicare Advantage18$92.48$294.45$468.405.1×
Molina28$59.93$339.21$966.8716.1×
Humana37$90.78$334.44$451.215.0×
Cigna25$283.50$1,075.50$2,910.6010.3×
Kaiser Permanente25$283.50$1,075.50$3,234.0011.4×
pacific source [8008]14$283.50$933.75$2,910.6010.3×
mutual of omaha [8007]14$283.50$933.75$2,910.6010.3×
mva state farm [1028]14$302.40$996.00$3,104.6410.3×
mva progressive [1027]14$302.40$996.00$3,104.6410.3×
first choice [8009]14$283.50$933.75$2,910.6010.3×
first choice generic [8999]14$283.50$933.75$2,910.6010.3×
First Health14$283.50$933.75$3,234.0011.4×
wellpoint [6009]14$122.85$404.63$1,261.2610.3×
community health network of wa [1055]14$156.95$499.75$794.985.1×
asuris truadvantage [4011]14$92.48$294.45$468.405.1×
Ambetter14$230.67$769.10$2,587.2011.2×
mega life [8005]14$283.50$933.75$2,910.6010.3×
mid west natl life [8006]14$283.50$933.75$2,910.6010.3×
ameriben [8000]14$283.50$933.75$2,910.6010.3×
chp advantage [4001]14$106.05$337.67$537.155.1×
pacific source administrators [8010]14$283.50$933.75$2,910.6010.3×
coordinated care [6007]13$61.66$167.78$229.453.7×
chp [6000]13$61.91$168.45$230.383.7×
zzprovidence [150129]12$1,062.62$1,062.62$1,062.621.0×
benefit md [150113]12$1,062.62$1,062.62$1,062.621.0×
carpenters trust [150122]12$1,062.62$1,062.62$1,062.621.0×
cement masons and plasterers [150127]12$1,062.62$1,062.62$1,062.621.0×
coresource [150109]12$1,062.62$1,062.62$1,062.621.0×
employee benefit management services [150108]12$1,062.62$1,062.62$1,062.621.0×
fc moda health [150139]12$1,062.62$1,062.62$1,062.621.0×
first choice [150134]12$1,062.62$1,062.62$1,062.621.0×
first choice health administrators [150110]12$1,062.62$1,062.62$1,062.621.0×
first choice health comp [150112]12$1,062.62$1,062.62$1,062.621.0×
first choice umr [150138]12$1,062.62$1,062.62$1,062.621.0×
Health Net12$1,062.62$1,062.62$1,062.621.0×
here [150114]12$1,062.62$1,062.62$1,062.621.0×
hotel employees health trust [150115]12$1,062.62$1,062.62$1,062.621.0×
international longshore & warehouse union [150116]12$1,062.62$1,062.62$1,062.621.0×
kitsap physician services [150118]12$1,062.62$1,062.62$1,062.621.0×
loomis benefits west [150119]12$1,062.62$1,062.62$1,062.621.0×
Medicare12$405.13$415.26$425.381.0×
mega [150120]12$1,062.62$1,062.62$1,062.621.0×
midwest [150121]12$1,062.62$1,062.62$1,062.621.0×
puget sound electric [150131]12$1,062.62$1,062.62$1,062.621.0×
seattle plumb and pipe [150132]12$1,062.62$1,062.62$1,062.621.0×
the health plan12$64.86$186.41$307.954.7×
trusteed plan [150101]12$1,062.62$1,062.62$1,062.621.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Wenatchee Valley HospitalWenatcheeWA29$3,234.00$2,910.60$56.96$552.98$3,234.00
East Adams Rural HospitalRitzvilleWA11$7,668.00$4,600.80$64.86$307.95$6,747.84
Valley Medical CenterRentonWA42$5,143.00$3,600.10$405.13$1,062.62$1,478.71
Kfh - WashingtonSeattleWA0$4,500.00$3,600.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.