CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lehigh Valley Hospital - Hazleton

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $382
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lehigh Valley Hospital - Hazleton is $382. 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 1.07x the Medicare baseline. Located in 700 East Broad Street, Hazleton, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$382

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: $382 (107%)
Ins. Median: $382 (107% 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
Amerihealth Caritas $303 85%
UnitedHealthcare $303 - $1,266 85%
Geisinger $313 - $796 88%
Highmark Wholecare/Gateway $334 94%
Jefferson Health Partners $355 - $705 100%
Pa Health & Wellness $355 100%
Highmark Blue Shield $360 - $1,241 101%
Amerihealth $363 102%
Cigna $363 - $1,064 102%
Aetna $370 - $1,956 104%
Devoted Health $374 105%
Humana $374 105%
Upmc $374 - $1,718 105%
Emblem $381 - $1,573 107%
Gateway $382 107%
Pa Health & Wellness (Allwell) $388 109%
Ambetter / Centene $1,070 300%
Valley Preferred $2,057 577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 East Broad Street, Hazleton, PA 18201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals