CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Grove City Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $162
Cash Discount Price: $2,564
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Grove City Medical Center is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,564. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.66x the Medicare baseline. Located in 631 North Broad Street Ext., Grove City, PA.

Cash / Self-Pay

$2,564

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $2,564 (1052%)

Insurance Median: $162 (66%)

Cash: $2,564 (1052% of Medicare)

Ins. Median: $162 (66% 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
Univera	$67 - $221	27%
Amerihealth	$71 - $278	29%
Pennsylvania Health And Wellness	$89 - $252	37%
Highmark	$95 - $480	39%
Geisinger	$97 - $269	40%
UnitedHealthcare	$97 - $705	40%
Aetna	$101 - $495	41%
University Of Pittsburgh Medical Center	$116 - $237	48%
Cigna	$131 - $542	54%
Highmark Wholecare	$139 - $246	57%
American Health Plans	$233	96%
Life Pittsburgh	$233	96%
Medicare (plans)	$240	98%
Humana	$246	101%
Molina	$253	104%
Medical Mutual	$662	272%

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 $2,564.
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 Grove City Medical Center 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.