CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: UPMC Pinnacle Hospitals

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$255

about 1.0× the $244 Medicare rate · typically $228–$270

modeled estimate · not a bill or quote

What this hospital charges insurers

$256

About the fair price

about $1 over the fair price · 1.0× Medicare

Medicare pays $244 Fair price $255 This hospital $256 Cash price $1,822 Hospital's list price $3,036

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $103 Priciest $256

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $255 (about 1.0× the $244 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $256, or about $1,822 in cash — about the fair price. Located in Harrisburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$132 - $254	54%
Blue Cross Blue Shieldmajor	$108 - $2,086	44%
Aetnamajor	$248 - $2,715	102%
Cignamajor	$250	103%
Humanamajor	$245	101%
AmeriHealth	$214	88%
Geisinger	$245	101%
HealthPartners	$229	94%
UPMC Health Plan	$336 - $2,683	138%
+ 6 smaller / regional plans	$108 - $3,136

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,822), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Pinnacle Hospitals is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Pinnacle Hospitals

Compare: CT scan, abdomen and pelvis (no contrast) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.