CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Chester County Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $741
  • Cash Discount Price: $2,645
  • vs. Medicare Baseline: 3.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Chester County Hospital is $741. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,645. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.04x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$2,645

Average discount available for prompt cash payment at this facility.

Insurance Median
$741

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: $2,645 (1085%)
Insurance Median: $741 (304%)
Cash: $2,645 (1085% of Medicare)
Ins. Median: $741 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Gateway $101 - $304 41%
Medicaid / KanCare $101 - $2,645 41%
Keystone First $129 53%
UnitedHealthcare $145 - $2,096 59%
Health Partners $243 - $2,645 100%
Hospice Vna $245 101%
Medicare (plans) $245 - $250 101%
Primecare Medical $245 101%
Tricare $245 101%
Va Medical Center $245 101%
Cigna $252 - $2,645 103%
Humana $252 103%
Devoted Health $257 105%
Pa Health And Wellness $257 - $404 105%
Aetna $260 - $846 107%
Clover Health Plan $260 107%
Mva Insurance $270 111%
Keystone First Vip Choice $272 112%
Us Family Health Plan $282 116%
Elap $348 143%
Claims Watcher $392 - $441 161%
Oscar Health Plan $417 171%
Centivo $441 181%
Elap Services $456 187%
Highmark $504 207%
Pgm - Regie De L'Assurance Maladie Quebec $608 249%
Penn Global Medicine $650 267%
Todays Option $741 304%
Geisinger Health Plan $777 319%
Preferred Health Care Eliance $820 336%
Ibc $822 - $1,363 337%
Keystone Hmo Proactive $822 337%
Pgm - Kuwait Defense $926 - $1,190 380%
Qualcare $1,005 412%
La Comunidad Hispana $1,058 434%
Pgm - Chop $1,058 434%
Healthamerica/Coventry $1,300 533%
Pgm - Royal Embassy Of Saudi Arabia $1,587 651%
Pgm - Embassy Of Qatar $1,719 705%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $1,719 705%
Pgm - Embassy Of The United Emirates/Ipc $1,852 760%
Pgm - Kuwait Health Division $2,116 868%
Pgm - Kuwait Oil $2,116 868%
Preferred Health Care $2,116 868%
Intergroup $2,248 922%
Olympus $2,317 950%
International Pfs $2,645 1085%
Medrisk $2,645 1085%
Not Adjusted $2,645 1085%
Workers Compensation $2,645 1085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals