CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Luke's Hospital - Upper Bucks Campus

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $482
  • Cash Discount Price: $6,305
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at St Luke's Hospital - Upper Bucks Campus is $482. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,305. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.98x the Medicare baseline. Located in 3000 St. Luke's Drive, Quakertown, PA.
Cash / Self-Pay
$6,305

Average discount available for prompt cash payment at this facility.

Insurance Median
$482

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: $6,305 (2586%)
Insurance Median: $482 (198%)
Cash: $6,305 (2586% of Medicare)
Ins. Median: $482 (198% 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.

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 $168 69%
Highmark Wholecare $194 80%
Geisinger $199 - $1,970 82%
Amerihealth Caritas $202 83%
Upmc Health Plan $202 - $1,920 83%
Jefferson Health Plan $242 99%
Blue Cross Blue Shield $247 - $5,802 101%
Highmark $247 - $855 101%
Aetna $252 - $2,445 103%
Humana $257 105%
UnitedHealthcare $267 - $2,024 110%
Oscar $1,818 746%
Cigna $1,917 786%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 St. Luke's Drive, Quakertown, PA 18951
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals