CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Luke's Miners Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $261
  • Cash Discount Price: $6,153
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at St Luke's Miners Memorial Hospital is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,153. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.07x the Medicare baseline. Located in 360 W Ruddle Street, Coaldale, PA.
Cash / Self-Pay
$6,153

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $6,153 (2524%)
Insurance Median: $261 (107%)
Cash: $6,153 (2524% of Medicare)
Ins. Median: $261 (107% 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.

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
Keystone First $168 69%
Highmark Wholecare $194 80%
Geisinger $199 - $1,923 82%
Amerihealth Caritas $202 83%
Upmc Health Plan $202 - $1,874 83%
Blue Cross Blue Shield $242 - $5,662 99%
Highmark $242 - $669 99%
Jefferson Health Plan $242 99%
Aetna $247 - $2,386 101%
Humana $252 103%
UnitedHealthcare $261 - $1,976 107%
Oscar $1,774 728%
Cigna $1,871 768%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 360 W Ruddle Street, Coaldale, PA 18218
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals