CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UPMC Jameson

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $397
Cash Discount Price: $2,755
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at UPMC Jameson is $397. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,755. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.11x the Medicare baseline. Located in 1211 Wilmington Avenue, New Castle, PA.

Cash / Self-Pay

$2,755

Average discount available for prompt cash payment at this facility.

Insurance Median

$397

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: $2,755 (773%)

Insurance Median: $397 (111%)

Cash: $2,755 (773% of Medicare)

Ins. Median: $397 (111% 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
UnitedHealthcare	$222 - $763	62%
Upmc Health Plan	$289 - $3,952	81%
Aetna	$297 - $340	83%
Humana	$340 - $3,673	95%
Amerihealth Caritas	$342 - $368	96%
Geisinger	$366	103%
Cigna	$368 - $670	103%
Highmark Wholecare (Prev Gateway)	$368 - $2,296	103%
Pa Health & Wellness	$368 - $448	103%
Occunet	$426	120%
Upmc Work Partners	$502	141%
Blue Cross Blue Shield	$558	157%
Multiplan	$3,443 - $3,673	966%
National Provider Network	$4,040	1133%

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 $2,755.
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 UPMC Jameson 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.