CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lehigh Valley Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $474
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lehigh Valley Hospital is $474. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.33x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$474

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%)
Insurance Median: $474 (133%)
Ins. Median: $474 (133% 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.

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 $270 - $1,266 76%
Amerihealth Caritas $289 - $474 81%
Cigna $317 - $1,229 89%
Geisinger $329 - $1,637 92%
Highmark Wholecare/Gateway $334 94%
Jefferson Health Partners $355 - $745 100%
Pa Health & Wellness $355 100%
Amerihealth $373 - $384 105%
Blue Cross Blue Shield $373 - $1,415 105%
Ibc $373 - $1,975 105%
Highmark Blue Shield $380 - $1,204 107%
Aetna $382 - $2,066 107%
Keystone First $382 107%
Devoted Health $395 111%
Humana $395 111%
Upmc $395 - $1,814 111%
Gateway $399 112%
Emblem $402 - $1,662 113%
Pa Health & Wellness (Allwell) $410 115%
Ambetter / Centene $1,130 317%
Valley Preferred $2,172 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals