CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Luke's Hospital - Upper Bucks Campus

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $608
  • Cash Discount Price: $8,946
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Luke's Hospital - Upper Bucks Campus is $608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,946. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.71x the Medicare baseline. Located in 3000 St. Luke's Drive, Quakertown, PA.
Cash / Self-Pay
$8,946

Average discount available for prompt cash payment at this facility.

Insurance Median
$608

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: $8,946 (2510%)
Insurance Median: $608 (171%)
Cash: $8,946 (2510% of Medicare)
Ins. Median: $608 (171% 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.

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 $263 74%
Highmark Wholecare $303 85%
Geisinger $311 - $2,795 87%
Amerihealth Caritas $316 89%
Upmc Health Plan $316 - $2,725 89%
Blue Cross Blue Shield $366 - $8,232 103%
Highmark $366 - $1,263 103%
Aetna $373 - $3,469 105%
Jefferson Health Plan $379 106%
Humana $380 107%
UnitedHealthcare $395 - $2,873 111%
Oscar $2,579 724%
Cigna $2,721 763%

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