CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UPMC Pinnacle Hospitals

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $479
Cash Discount Price: $1,662
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at UPMC Pinnacle Hospitals is $479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,662. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.34x the Medicare baseline. Located in 409 South Second Street, Harrisburg, PA.

Cash / Self-Pay

$1,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$479

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: $1,662 (466%)

Insurance Median: $479 (134%)

Cash: $1,662 (466% of Medicare)

Ins. Median: $479 (134% 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.

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	$113 - $2,412	32%
Keystone Health Plan	$113 - $1,237	32%
Prime Net	$136 - $3,742	38%
UnitedHealthcare	$252 - $376	71%
Premier Comp Solutions	$280	79%
Aetna	$332 - $3,662	93%
Amerihealth Caritas	$334	94%
Health Partners Plans (Jefferson Health Plan)	$358	100%
Humana	$362	102%
Intergroup	$366 - $4,230	103%
Cigna	$369	104%
Pa Health & Wellness	$379 - $448	106%
Geisinger	$383	107%
Wellspan Population Health	$479 - $4,230	134%
Upmc Work Partners	$525	147%
Upmc Health Plan	$3,952	1109%

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 $1,662.
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 UPMC Pinnacle Hospitals 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.