CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jefferson Lansdale Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $228
Cash Discount Price: $275
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Jefferson Lansdale Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.94x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.

Cash / Self-Pay

$275

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $275 (113%)

Insurance Median: $228 (94%)

Cash: $275 (113% of Medicare)

Ins. Median: $228 (94% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

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
Keystone First	$124 - $207	51%
Pa Health_Wellness Chc	$131 - $219	54%
Medicaid / KanCare	$137 - $228	56%
Aetna	$174 - $566	71%
Jefferson Health Plan Aca Qhp Exchange	$205	84%
St Agnes	$211	87%
Innovage	$215	88%
Inspira Life	$215	88%
Medicare (plans)	$215 - $248	88%
Point Of Comfort Refugee Resettlement	$215	88%
Provider Partners Health Plan	$215	88%
Tricare	$215	88%
UnitedHealthcare	$215 - $502	88%
Humana	$220	90%
Jab Health Partners	$223	91%
Cigna	$224 - $380	92%
Devoted Health Participation	$226	93%
Keystone First Vip Choice	$230	94%
Allwell Pa Health_Wellness Ma	$237	97%
Perennial	$250	103%
Highmark Wholecare Gateway	$252	103%
Ibc Employee Benefit	$269	110%
Ibc Main Line Health	$269	110%
Ibc	$293 - $3,250	120%
Ambetter / Centene	$312	128%
Naphcare	$344	141%
Upmc Commercial	$380	156%
Blue Cross Blue Shield	$525	215%
Geisinger Health Plan	$877	360%

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 $275.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jefferson Lansdale Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.