CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Geisinger-Lewistown Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,692
Cash Discount Price: $4,085
vs. Medicare Baseline: 7.55x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Geisinger-Lewistown Hospital is $2,692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,085. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.55x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$4,085

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,692

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: $4,085 (1146%)

Insurance Median: $2,692 (755%)

Cash: $4,085 (1146% of Medicare)

Ins. Median: $2,692 (755% 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 755% of the Medicare baseline (a markup of 655%). 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	$263	74%
Geisinger Family Plan	$282	79%
Amerihealth	$289	81%
Upmc Health Plan	$309 - $11,890	87%
Health Partners	$316	89%
Upmc Chip	$329	92%
Blue Cross Blue Shield	$346 - $3,565	97%
Geisinger Health Plan	$346 - $1,623	97%
Medicare (plans)	$346	97%
Advantra	$350	98%
Humana	$350	98%
Ambetter / Centene	$831	233%
Aetna	$2,692 - $3,202	755%
Cigna	$2,850 - $3,466	800%
UnitedHealthcare	$2,919	819%
Christian Healthcare Ministries	$3,294	924%
Christian Health Aid	$5,271	1479%
Three Rivers Provider Network Inc.	$5,271	1479%
Multiplan	$5,601	1571%
Healthsmart Payors Organization	$5,930	1664%

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 $4,085.
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 Geisinger-Lewistown 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.