CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $376
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Schuylkill Medical Center - South Jackson Street is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 420 South Jackson Street, Pottsville, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$376

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%)

Insurance Median: $376 (105%)

Ins. Median: $376 (105% 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
Aetna	$300 - $1,956	84%
Amerihealth Caritas	$303	85%
UnitedHealthcare	$311 - $367	87%
Geisinger	$313 - $858	88%
Highmark Wholecare/Gateway	$334	94%
Blue Cross Blue Shield	$353 - $1,540	99%
Jefferson Health Partners	$355 - $705	100%
Pa Health & Wellness	$355	100%
Highmark Blue Shield	$360 - $1,115	101%
Amerihealth	$363	102%
Cigna	$363 - $1,064	102%
Devoted Health	$374	105%
Humana	$374	105%
Upmc	$374 - $1,718	105%
Gateway	$377	106%
Emblem	$381 - $1,573	107%
Pa Health & Wellness (Allwell)	$388	109%
Ambetter / Centene	$1,070	300%
Valley Preferred	$2,057	577%

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 $X.
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 Schuylkill Medical Center - South Jackson Street 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.