CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Reading Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,274
Cash Discount Price: $3,979
vs. Medicare Baseline: 6.38x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Reading Hospital is $2,274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,979. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.38x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.

Cash / Self-Pay

$3,979

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,274

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: $3,979 (1116%)

Insurance Median: $2,274 (638%)

Cash: $3,979 (1116% of Medicare)

Ins. Median: $2,274 (638% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 638% of the Medicare baseline (a markup of 538%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$169 - $1,994	47%
Upmc	$212 - $3,070	59%
Geisinger	$231 - $3,599	65%
Keystone First	$231	65%
Pa Health & Wellness	$241	68%
UnitedHealthcare	$241 - $2,748	68%
Amerihealth Caritas	$246	69%
Health Partners	$246	69%
Gateway	$247	69%
Wernersville State Hospital	$251	70%
Aetna	$482 - $3,922	135%
Pma	$2,274	638%
Lehigh Valley Health Network	$2,558	718%
Cigna	$3,251	912%
Berkshire	$4,263	1196%
First Health	$4,377	1228%
Blue Ridge	$5,400	1515%

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 $3,979.
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 Reading 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.