CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,971
  • Cash Discount Price: $6,109
  • vs. Medicare Baseline: 11.14x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Magee Womens Hospital of UPMC Health System is $3,971. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,109. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.14x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.
Cash / Self-Pay
$6,109

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,971

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: $6,109 (1714%)
Insurance Median: $3,971 (1114%)
Cash: $6,109 (1714% of Medicare)
Ins. Median: $3,971 (1114% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1114% of the Medicare baseline (a markup of 1014%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $289 - $368 81%
Upmc Health Plan $289 - $3,952 81%
Aetna $342 - $5,396 96%
Amerihealth Caritas $368 - $416 103%
Highmark Wholecare (Prev Gateway) $368 - $390 103%
Geisinger $410 115%
Pa Health & Wellness $448 126%
Upmc Work Partners $502 141%
Blue Cross Blue Shield $554 - $3,219 155%
Cigna $4,072 - $5,396 1142%
Intergroup $5,090 1428%
Coventry/First Health $7,127 2000%
Preferred Healthcare System $8,145 2285%
Humana $8,654 2428%
Private Health Care Systems $8,654 2428%
Multiplan $9,367 2628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals