Island Hospital

AnacortesSkagit CountyAcute Care Hospitals

Abdomen and pelvis CT scan with and without contrast

Quality: 4 of 5 (CMS overall rating)Earliest available date: call (360) 299-1300

What you may pay

With insurance from an employer or private plan: $357 to $4,465Depends on your plan. Each plan’s price at this hospital:
Regence $357Below what Traditional Medicare pays this hospital for this ($389, CY2026 rate). Private plans almost always pay more than Medicare, so this may cover only part of the bill or be a mistake in the hospital’s file. Ask Regence for its rate before relying on it.
Kaiser $540 Lower than typical
Multiplan $3,995 Higher than typical
Aetna $4,465 Higher than typical
The 2 lowest and 2 highest of 17 plans. Find yours in the table below.Typical at 39 hospitals we cover: $1,037 to $1,691 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price): $4,700 Higher than typicalTypical hospital’s fee at 38 hospitals we cover: $2,051 to $4,108.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Island Hospital’s own price file. CareNavIQ last refreshed prices on 2026-11-05.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

Bills to expect

A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe scan: equipment, technologist and contrast dye	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the scan and writing the report	The radiology group	Expected	Billed separately; amount estimated	$94	$111 to $168
Ordering doctor's visitThe visit where the CT scan is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $130 to $142 of about $651 to $708 billed to your plan.

Your share of the hospital's bill is about $108; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's charge
$4,700
Insurance adjustmentWritten off by the provider: you don't owe it.
−$4,160
Allowed amountWhat the insurer counts for this bill.
$540
Your plan pays
$432
Your coinsurance
$108
You oweThe provider bills you this after the insurer pays.
$108
RadiologistSent by the radiology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$111
Your plan pays
$88.73
Your coinsurance
$22.18
You oweThe provider bills you this after the insurer pays.
$22.18

All bills: allowed amounts: $651
Your plan pays: $521
You owe in all: $130

Who owes what, and when you might owe more

The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.

Get it confirmed before your care

The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.

Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.

How you’ll payWith insurancePaying myself, without insurance

Island Hospital

The largest bill.

Request to send

Subject: Estimate request: abdomen and pelvis ct scan with and without contrast at Island Hospital

Hello,

I am planning a abdomen and pelvis ct scan with and without contrast (billing code CPT 74178) at Island Hospital.

Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use.

Name: [YOUR NAME]
Date of birth: [DATE OF BIRTH]
Insurance: [PLAN NAME], member ID [MEMBER ID]
Planned date: [DATE, IF KNOWN]

Thank you.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (360) 299-1300 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my abdomen and pelvis ct scan with and without contrast."

I’ve sent this one

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

45 published prices, grouped by who each price applies to.

Cash price 1 price

The hospital's discounted price for patients paying without insurance.

Cash price prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$4,700	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	—	Inpatient or outpatient	—

List price (before discounts) 1 price

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$4,700	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	—	Inpatient or outpatient	—

Commercial insurance 23 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices marked “below Medicare” are less than Traditional Medicare pays this hospital for the same code. They may be one line of a bigger bill or a mistake in the hospital’s file: ask the plan for its rate.

Commercial insurance prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	Commercial	$4,465	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Cigna	Commercial	$3,760	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Coordinated Care	Ambetter	$749	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Coordinated Care	COCARE Ambetter Cascade	$666	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Coordinated Care	Cascase Select plan	$666	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
First Choice	All Plans	$3,995	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
First Health	Commercial	$3,995	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Humana	Commercial	$3,995	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Integrated Health Plan	Commercial	$3,995	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Kaiser	Commercial	$540	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Lifewise Health Plan of WA	Alpine	$666	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Lifewise Health Plan of WA	Exchange	$3,113	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Multiplan	Commercial	$3,995	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Premera	Commercial	$3,113	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Regence	Commercial	$357Below Medicare ($389)	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
United Healthcare	Commercial	$1,000	Hospital’s fee	CT ABD & PELV 1/> REGNS	other	Outpatient	—
United Healthcare	Commercial	$1,000	Hospital’s fee	CT ABD & PELV 1/> REGNS	other	Outpatient	—
United Healthcare	Commercial	$1,000	Hospital’s fee	CT ABD & PELV 1/> REGNS	other	Outpatient	—
United Healthcare	Commercial	$1,000	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	other	Inpatient or outpatient	—
United Healthcare	GEHA	$1,000	Hospital’s fee	CT ABD & PELV 1/> REGNS	other	Outpatient	—
United Healthcare	GEHA	$1,000	Hospital’s fee	CT ABD & PELV 1/> REGNS	other	Outpatient	—
United Healthcare	GEHA	$1,000	Hospital’s fee	CT ABD & PELV 1/> REGNS	other	Outpatient	—
United Healthcare	GEHA	$1,000	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	other	Inpatient or outpatient	—

Medicare Advantage 11 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	Medicare Advantage	$437	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Humana	Medicare Advantage	$416	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Kaiser	Medicare Advantage	$416	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Optum Care Network	AARP Medicare OCN	$425	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Optum Care Network	Humana Medicare OCN	$425	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Optum Care Network	UHC Medicare OCN	$425	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Premera	Medicare Advantage	$437	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Regence	Medicare Advantage	$441	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
United Healthcare	AARP Medicare	$437	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
United Healthcare	Medicare Advantage	$437	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Wellcare	Medicare Advantage	$441	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—

Medicaid managed care 3 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Coordinated Care	Medicaid	$242	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	case rate	Inpatient or outpatient	—
Molina	Healthy Options	$231	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	case rate	Inpatient or outpatient	—
Wellpoint	Medicaid	$223	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	case rate	Inpatient or outpatient	—

Other government program 3 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Department of Labor and Industries	All Plans	$438	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
Tricare	Triwest	$416	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
USFHP	All Plans	$416	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—

Unknown 3 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Abdomen and pelvis CT scan with and without contrast at Island Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Community Health Plan of Washington	Health Options	$252	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	case rate	Inpatient or outpatient	—
United Healthcare	HO	$437	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—
United Healthcare	UBH Optum	$416	Hospital’s fee	ABD AND PELVIS W/WO CONTRAST	fee schedule	Inpatient or outpatient	—

Doctors here who do this procedure

11 doctors affiliated with Island Hospital billed Traditional Medicare for Abdomen and pelvis CT scan with and without contrast in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with Island Hospital who billed Traditional Medicare for Abdomen and pelvis CT scan with and without contrast
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Paul Craig, MDDiagnostic Radiology · Spokane	Jefferson County Public Hospital District No 2Group of 147 clinicians	Not rated	90	$94.69 at a hospital or surgery center
Larry Cai, MDDiagnostic Radiology · Seattle	The Association Of University PhysiciansGroup of 3,535 clinicians	Not rated	44	$91.84 at a hospital or surgery center
Shawn CallDiagnostic Radiology · Seattle	Jefferson County Public Hospital District No 2Group of 147 clinicians	Not rated	36	$91.23 at a hospital or surgery center
Kristin Grant, MDDiagnostic Radiology · Arlington	Jefferson County Public Hospital District No 2Group of 147 clinicians	Not rated	31	$92.93 at a hospital or surgery center
Frederic Joseph, MDDiagnostic Radiology · Seattle	Avera MckennanGroup of 959 clinicians	Not rated	26	$90.42 at a hospital or surgery center
Gita Rabbani, MDDiagnostic Radiology · Bellingham	Mt Baker Imaging LLCGroup of 35 clinicians	88 of 100CMS MIPS 2024, reported by their group	24	$348 in the office (no hospital amount)
Allen Chen, MDDiagnostic Radiology · Seattle	Vanderbilt University Medical CenterGroup of 3,567 clinicians	Not rated	20	$97.04 at a hospital or surgery center
Aaron Yu, MDDiagnostic Radiology · Mount Vernon	Jefferson County Public Hospital District No 2Group of 147 clinicians	Not rated	15	$109 at a hospital or surgery center
Laurence Cambron, MD PHDDiagnostic Radiology · Mount Vernon	Mori Bean And Brooks IncGroup of 977 clinicians	Not rated	14	$92.71 at a hospital or surgery center
Elyse Blum, MDDiagnostic Radiology · Seattle	The Association Of University PhysiciansGroup of 3,535 clinicians	Not rated	12	$108 at a hospital or surgery center
Kelley Cline, MDDiagnostic Radiology · Seattle	Jefferson County Public Hospital District No 2Group of 147 clinicians	Not rated	12	$96.36 at a hospital or surgery center

Reading the doctor list

A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
Medicare’s file doesn’t say where a doctor did the procedure, only that they billed it in Washington. Affiliations are the hospitals each doctor lists with Medicare.

See a price that looks wrong? Tell us about it.

Island Hospital

What you may pay

Bills to expect

What you’d pay for these bills

How each bill comes to you

1 Hospital's feeSent by the hospital

2 RadiologistSent by the radiology group

Get it confirmed before your care

Island Hospital

Cash price 1 price

List price (before discounts) 1 price

Commercial insurance 23 prices

Medicare Advantage 11 prices

Medicaid managed care 3 prices

Other government program 3 prices

Unknown 3 prices

Doctors here who do this procedure

Reading the doctor list

Hospital's feeSent by the hospital

RadiologistSent by the radiology group