CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jefferson Lansdale Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $340
Cash Discount Price: $402
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Jefferson Lansdale Hospital is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $402. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.95x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.

Cash / Self-Pay

$402

Average discount available for prompt cash payment at this facility.

Insurance Median

$340

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: $402 (113%)

Insurance Median: $340 (95%)

Cash: $402 (113% of Medicare)

Ins. Median: $340 (95% 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.

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	$237 - $324	66%
Pa Health_Wellness Chc	$251 - $342	70%
Medicaid / KanCare	$261 - $356	73%
Jefferson Health Plan Aca Qhp Exchange	$299	84%
St Agnes	$308	86%
Innovage	$315	88%
Inspira Life	$315	88%
Medicare (plans)	$315 - $362	88%
Point Of Comfort Refugee Resettlement	$315	88%
Provider Partners Health Plan	$315	88%
Tricare	$315	88%
UnitedHealthcare	$315 - $792	88%
Jab Health Partners	$319	89%
Humana	$321	90%
Cigna	$327 - $809	92%
Devoted Health Participation	$331	93%
Aetna	$332 - $968	93%
Keystone First Vip Choice	$337	95%
Ibc	$345 - $3,830	97%
Allwell Pa Health_Wellness Ma	$346	97%
Perennial	$365	102%
Highmark Wholecare Gateway	$368	103%
Ibc Employee Benefit	$394	111%
Ibc Main Line Health	$394	111%
Ambetter / Centene	$456	128%
Naphcare	$504	141%
Blue Cross Blue Shield	$715	201%
Upmc Commercial	$809	227%
Geisinger Health Plan	$1,283	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 $402.
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 Jefferson Lansdale Hospital 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.