CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Thomas Jefferson University Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $254
Cash Discount Price: $282
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Thomas Jefferson University Hospital is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $282 (116%)

Insurance Median: $254 (104%)

Cash: $282 (116% of Medicare)

Ins. Median: $254 (104% 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.

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
Pa Health_Wellness Chc	$131 - $219	54%
Medicaid / KanCare	$137 - $228	56%
Aetna	$192 - $970	79%
Jefferson Health Plan Aca Qhp Exchange	$210	86%
Innovage	$221	91%
Inspira Life	$221	91%
Keystone First Vip Choice	$221 - $225	91%
Medicare (plans)	$221 - $254	91%
Point Of Comfort Refugee Resettlement	$221	91%
St Agnes	$221	91%
Tricare	$221	91%
UnitedHealthcare	$221 - $805	91%
Humana	$225	92%
Cigna	$229 - $380	94%
Devoted Health Participation	$232	95%
Provider Partners Health Plan	$236	97%
Allwell Pa Health_Wellness Ma	$243	100%
Perennial	$256	105%
Highmark Wholecare Gateway	$258	106%
Ibc Employee Benefit	$276	113%
Ibc Main Line Health	$276	113%
Keystone First	$282 - $470	116%
Ambetter / Centene	$320	131%
Naphcare	$353 - $419	145%
Upmc Commercial	$380	156%
Ibc	$548 - $867	225%
Geisinger Health Plan	$899	369%
Blue Cross Blue Shield	$1,543	633%

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 $282.
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 Thomas Jefferson University Hospital 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.