CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,784
Cash Discount Price: $4,264
vs. Medicare Baseline: 11.42x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Magee Womens Hospital of UPMC Health System is $2,784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,264. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.42x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.

Cash / Self-Pay

$4,264

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,784

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: $4,264 (1749%)

Insurance Median: $2,784 (1142%)

Cash: $4,264 (1749% of Medicare)

Ins. Median: $2,784 (1142% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1142% of the Medicare baseline (a markup of 1042%). 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
UnitedHealthcare	$185 - $249	76%
Upmc Health Plan	$185 - $2,683	76%
Aetna	$219 - $3,767	90%
Amerihealth Caritas	$249 - $266	102%
Highmark Wholecare (Prev Gateway)	$249 - $250	102%
Geisinger	$262	107%
Pa Health & Wellness	$287	118%
Upmc Work Partners	$321	132%
Blue Cross Blue Shield	$479 - $2,784	196%
Cigna	$2,843 - $3,767	1166%
Intergroup	$3,554	1458%
Coventry/First Health	$4,975	2041%
Preferred Healthcare System	$5,686	2333%
Humana	$6,041	2478%
Private Health Care Systems	$6,041	2478%
Multiplan	$6,538	2682%

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 $4,264.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Magee Womens Hospital of UPMC Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.