CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Wellspan York Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,650
Cash Discount Price: $438
vs. Medicare Baseline: 4.63x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Wellspan York Hospital is $1,650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.63x the Medicare baseline. Located in 1001 South George Street, York, PA.

Cash / Self-Pay

$438

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,650

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: $438 (123%)

Insurance Median: $1,650 (463%)

Cash: $438 (123% of Medicare)

Ins. Median: $1,650 (463% 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 463% of the Medicare baseline (a markup of 363%). 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
Medicaid / KanCare	$241 - $612	68%
Johns_Hopkins_Healthcare_Plan	$350 - $2,751	98%
Medicare (plans)	$350 - $378	98%
Aetna	$360 - $2,638	101%
Wellspan_Capital_Blue_Cross	$395 - $2,664	111%
Blue_Cross	$407 - $2,606	114%
Highmark	$525 - $2,156	147%
United_Healthcare	$2,107	591%
Cigna	$2,415 - $2,585	678%
First_Health_Network	$2,511 - $2,638	704%
Phc	$2,606	731%
Geisinger	$2,751	772%
Upmc	$2,751	772%

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 $438.
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 Wellspan York 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.