CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Vincent Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $303
  • Cash Discount Price: $4,246
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint Vincent Hospital is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,246. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.85x the Medicare baseline. Located in 232 West 25Th Street, Erie, PA.
Cash / Self-Pay
$4,246

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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: $4,246 (1191%)
Insurance Median: $303 (85%)
Cash: $4,246 (1191% of Medicare)
Ins. Median: $303 (85% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Univera $71 - $366 20%
Amerihealth $74 - $434 21%
Pennsylvania Health And Wellness $93 - $395 26%
Highmark $99 - $567 28%
Geisinger $102 - $421 29%
UnitedHealthcare $102 - $10,495 29%
Cigna $137 - $906 38%
Aetna $212 - $791 59%
University Of Pittsburgh Medical Center $222 - $389 62%
Highmark Wholecare $266 - $412 75%
Jefferson Health Plans $295 - $403 83%
American Health Plans $389 109%
Life Pittsburgh $389 109%
Martin'S Point $389 109%
Medicare (plans) $400 112%
Blue Cross Blue Shield $408 - $612 114%
Humana $412 116%
Molina $424 119%
Medical Mutual $829 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 232 West 25Th Street, Erie, PA 16544
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals