CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Allegheny General Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $285
  • Cash Discount Price: $3,935
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Allegheny General Hospital is $285. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,935. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.80x the Medicare baseline. Located in 320 East North Avenue, Pittsburgh, PA.
Cash / Self-Pay
$3,935

Average discount available for prompt cash payment at this facility.

Insurance Median
$285

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: $3,935 (1104%)
Insurance Median: $285 (80%)
Cash: $3,935 (1104% of Medicare)
Ins. Median: $285 (80% 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
Univera $71 - $366 20%
Amerihealth $74 - $434 21%
Pennsylvania Health And Wellness $93 - $395 26%
Highmark $99 - $857 28%
Geisinger $102 - $421 29%
UnitedHealthcare $102 - $1,198 29%
Cigna $137 - $801 38%
Aetna $231 - $1,148 65%
Highmark Wholecare $266 - $364 75%
American Health Plans $344 97%
Life Pittsburgh $344 97%
Martin'S Point $344 97%
Humana $364 102%
Medicare (plans) $364 102%
Molina $374 105%
Medical Mutual $1,140 320%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 320 East North Avenue, Pittsburgh, PA 15212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals