CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Excela Health - Frick Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $261
  • Cash Discount Price: $1,213
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Excela Health - Frick Hospital is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,213. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.07x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$1,213

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: $1,213 (498%)
Insurance Median: $261 (107%)
Cash: $1,213 (498% 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
Geisinger $202 - $256 83%
Health Partners Plans $202 83%
Highmark Wholecare $207 - $266 85%
Upmc $214 - $263 88%
Amerihealth Caritas $219 - $256 90%
Pa Health And Wellness $219 - $261 90%
Highmark Advantage Community Blue $227 93%
Senior Life $244 100%
Va $244 100%
Aetna $251 - $561 103%
Health Partners Plan $251 103%
Martin'S Point $251 103%
Peak Health $251 - $573 103%
The Health Plan Of West Virginia $251 - $573 103%
Humana $254 104%
United $254 104%
Cigna $256 - $538 105%
Devoted $256 105%
American Health Plan Of Pa $268 110%
Provider Network Of America $268 - $1,618 110%
Provider Plan Partners Plan $268 110%
Upmc Health Plan $283 - $1,125 116%
Highmark Children'S Health Insurance Program $293 120%
Ambetter / Centene $305 125%
Highmark $330 - $538 135%
Velocity $366 150%
Community Blue $484 199%
UnitedHealthcare $621 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals