CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Punxsutawney Area Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $173
Cash Discount Price: $501
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Punxsutawney Area Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.71x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.

Cash / Self-Pay

$501

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $501 (206%)

Insurance Median: $173 (71%)

Cash: $501 (206% of Medicare)

Ins. Median: $173 (71% 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
Highmark Wholecare	$47 - $232	19%
UnitedHealthcare	$54 - $994	22%
Tricare	$70 - $226	29%
Aetna	$77 - $721	32%
Amerihealth Caritas	$77 - $245	32%
Highmark	$77 - $5,363	32%
Geisinger Health Plan	$78 - $250	32%
United Mine Workers Of America	$78 - $249	32%
Upmc Health Plan	$78 - $2,367	32%
Cigna	$80 - $1,476	33%
Ambetter / Centene	$82 - $262	34%
Pa Health And Wellness Commercial	$98 - $498	40%
Geisinger	$109 - $697	45%
Humana	$245	101%
Pa Workers Compensation	$260 - $2,485	107%

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 $501.
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 Punxsutawney Area 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.