CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lower Bucks Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $243
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lower Bucks Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 501 Bath Road, Bristol, PA.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $234 (96%)
Insurance Median: $243 (100%)
Cash: $234 (96% of Medicare)
Ins. Median: $243 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Health Partners Plan $101 - $352 41%
Medicaid / KanCare $101 41%
Keystone $107 - $244 44%
UnitedHealthcare $114 - $501 47%
Humana $188 77%
One Call Care $190 78%
Blue Cross Blue Shield $235 - $720 96%
Medicare (plans) $235 - $246 96%
Pa Health & Wellness $235 - $282 96%
Tricare $235 96%
Provider Patners Health Plan $242 99%
Spartan Plan Pa $246 101%
Auto Insurance $258 106%
Worker Compensation $265 109%
Employer Direct Healthcare $329 135%
Highmark $523 215%
Cigna $567 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals