CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Geisinger-Community Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,436
Cash Discount Price: $4,495
vs. Medicare Baseline: 4.03x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Geisinger-Community Medical Center is $1,436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,495. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.03x the Medicare baseline. Located in 1822 Mulberry Street, Scranton, PA.

Cash / Self-Pay

$4,495

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,436

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: $4,495 (1261%)

Insurance Median: $1,436 (403%)

Cash: $4,495 (1261% of Medicare)

Ins. Median: $1,436 (403% 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 403% of the Medicare baseline (a markup of 303%). 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
Medicaid / KanCare	$263	74%
Geisinger Family Plan	$271	76%
Amerihealth	$303	85%
Upmc For You	$309	87%
Health Partners	$316	89%
Upmc Chip	$329	92%
Geisinger Health Plan	$353 - $1,014	99%
Medicare (plans)	$353	99%
Prison Health Services	$353	99%
Humana	$360	101%
Aetna	$370 - $4,278	104%
Blue Cross Blue Shield	$565 - $1,573	159%
Ambetter / Centene	$1,164	327%
UnitedHealthcare	$1,173	329%
Cigna	$3,197	897%
Christian Healthcare Ministries	$3,625	1017%
Healthnet	$4,248	1192%
Universal Managed Care	$4,495 - $4,712	1261%
Intergroup Services	$5,800 - $6,525	1627%
Multiplan	$6,162	1729%

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 $4,495.
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 Geisinger-Community Medical Center 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.